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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
165

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Related Experiment Video

Updated: Jun 25, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

403

No-anesthesia for Colles fracture.

Ahmet Issin1, Hakan Yurten2, Seçkin Özcan3

  • 1Erzincan Binali Yıldırım University, Mengücek Gazi Education and Research Hospital Orthopedics and Traumatology Department, Erzincan, Turkey.

Injury
|May 31, 2024
PubMed
Summary

Colles fracture reduction is quick and tolerable without anesthesia. Hematoma block offers greater pain relief for adults than children, though it reduces pain scores in both groups.

Keywords:
AnesthesiaCollesConservativeDistal radiusFractureHematoma blockPlaster castReductionTurkishTurkiye

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Area of Science:

  • Orthopedics
  • Pain Management
  • Pediatric Care

Background:

  • Colles fractures are common wrist injuries requiring reduction.
  • Assessing pain during fracture reduction is crucial for patient comfort.
  • Hematoma block is a common anesthesia method for fracture reduction.

Purpose of the Study:

  • To measure perceived pain during Colles fracture reduction without anesthesia in children and adults.
  • To compare pain levels, reduction duration, and hospital stays with and without hematoma block.
  • To analyze the correlation between age and pain perception in pediatric patients.

Main Methods:

  • A randomized controlled trial involving 135 adults and 98 pediatric patients.
  • Utilized the Wong-Baker FACES pain scale for pain assessment.
  • Measured reduction time and total hospital stay duration.

Main Results:

  • Unanesthetized reduction yielded high pain scores (9.2 for children, 8.7 for adults).
  • Hematoma block reduced pain scores (7.5 for children, 5.2 for adults) with a minor increase in hospital stay.
  • Pain scores in children showed a negative correlation with age; reduction took ~5 seconds.

Conclusions:

  • Colles fracture reduction is brief and generally tolerable without anesthesia.
  • Hematoma block provides more significant pain reduction in adults compared to children.
  • The procedure is effective in reducing pain scores across age groups, particularly in adults.