PAIN LOWERING EFFECT OF HEMATOMA BLOCK FOR CLOSE REDUCTION OF DISTAL RADIUS FRACTURES

• Main Authors: Sardar Sohail Afsar, Mohammad Idrees, Mohammad Gulzar
• Format: Article
• Language: English
• Published: Gomal Medical College, D.I.Khan, Pakistan 2014-05-01
• Series: Gomal Journal of Medical Sciences
• Subjects: radius fractures; pathological fractures; hematoma; lidocaine; pain measurement; visual analogue pain scale
• Online Access: http://gjms.com.pk/ojs24/index.php/gjms/article/view/946
• ISSN: 1819-7973; 1997-2067

Background: Distal radius fracture is common in all age groups and close reduction is effective method of management. The objective of this study was to determine the pain lowering effect of hematoma block for close reduction of distal radius fractures. Material & Methods: This was a quasi-experimental study conducted at Civil Hospital, Khanuspur, Abbottabad from September, 2011 to February, 2013. All patients presenting with distal radius fracture were included. Patients having multiple fractures, pathological fractures or injuries requiring general anesthesia were excluded. Pain score was measured on Visual Analogue Pain Scale before and five, 10 & 30 minutes of hematoma block. Paired t test was applied to see significance of difference at alpha value of 0.5. Results: Out of 48 patients with distal radius fracture, males were 20(41.7%) while females were 28(58.3%). The mean age of the sample was 47.04±18.45. Nine (18.8%) patients were aged up to 20 years, 12 (25%) were from 21-50 years and 27(56.2%) were of age more than 50 years. In 25(52.1%) patients, there was right while in 23(47.9%) patients there was left distal radius fracture. There was highly statistically significant reduction in pain score at all three point intervals after hematoma block (p