Evidence map›Paper›PMID 35982326›Full record

Trial reportEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Circumferential periosteal block versus hematoma block for the reduction of distal radius and ulna fractures: a randomized controlled trial.

Ali Lari, Ali Jarragh, Mohammad Alherz, Abdullah Nouri, Mousa Behbehani, Naser Alnusif

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07625787 (EFFICACY AND SAFETY OF HEMATOMA BLOCK VERSUS BRACHIAL PLEXUS BLOCK FOR CLOSED REDUCTION OF EXTRA-ARTICULAR DISTAL RADIUS FRACTURE), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07625787 nacompletednot on this mapstarted 2024, after this paper: background citation

Efficacy and safety of hematoma block versus brachial plexus block for closed reduction of extra-articular distal radius fracture: a prospective study

TypeinterventionalSponsorKathmandu University School of Medical SciencesRan2024 to 2026Enrolled90ConditionsDistal Radius Fracture, Brachial Plexus Block, Hematoma BlockArmsBrachial Plexus Block, Hematoma Block
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Does the addition of peripheral nerve blocks improve analgesia during distal radius fracture reduction? A prospective, randomized, multicenter clinical trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Trial
  2. Comparative Efficacy of Hematoma Block Versus Circumferential Block in Pain Management for Distal Radius Fracture Reduction.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Trial
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Ali LariAlRazi Orthopedic Hospital, AlSabah Medical Region, Kuwait City, Kuwait. Dr.alilari@gmail.com.ORCID http://orcid.org/0000-0002-2070-6727
Ali JarraghDepartment of Orthopedic Surgery, Jaber Alahmed Alsabah Hospital, Kuwait City, Kuwait.
Mohammad AlherzDepartment of Anatomy, Trinity College Dublin, Dublin, Ireland.
Abdullah NouriAlRazi Orthopedic Hospital, AlSabah Medical Region, Kuwait City, Kuwait.
Mousa BehbehaniAlRazi Orthopedic Hospital, AlSabah Medical Region, Kuwait City, Kuwait.
Naser AlnusifAlRazi Orthopedic Hospital, AlSabah Medical Region, Kuwait City, Kuwait.
Al-Sabah Hospital · KWTrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the analgesic efficacy of the circumferential periosteal block (CPB) and compare it with the conventional fracture hematoma block (HB).

methodsThis study was a prospective single-center randomized controlled trial performed in a national orthopedic hospital. Fifty patients with displaced distal radius (with or without concomitant ulna) fractures requiring reduction were randomized to receive either CPB or HB prior to the reduction. Pain was sequentially measured using the visual analogue scale (VAS) across three stages; before administration of local anesthesia (baseline), during administration (injection) and during manipulation and immobilization (manipulation). Further, the effect of demographic factors on the severity of pain was analyzed in multivariate regression. Finally, complications and end outcomes were compared across both techniques.

resultsPatients receiving CPB experienced significantly less pain scores during manipulation (VAS = 0.64) compared with HB (VAS = 2.44) (p =  < 0.0001). There were no significant differences between groups at baseline (P = 0.55) and injection (P = 0.40) stages.

conclusionThe CPB provides a superior analgesic effect over the conventional HB with no documented complications in either technique. LEVEL OF EVIDENCE: Therapeutic Level II.

Indexed as

Radius FracturesUlna FracturesWrist FracturesAnalgesicsAnesthesia, LocalHematomaHumansPainProspective StudiesRadiusAnalgesicsAnalgesiaDistal radius fractureHematoma blockNonoperative managementPeriosteal blockReduction

Identifiers

PMID35982326
PMCPMC9925527
OpenAlexW4292361963

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.