Hematoma block

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A hematoma block is an analgesic technique used to allow painless manipulation of fractures while avoiding the need for full anesthesia. [1]

When a bone is fractured as a result of an injury, the two fragments may be displaced relative to each other. If they are not, usually no treatment is required other than immobilisation in an appropriate cast. If displacement does occur, then the space separating the fragments fills with blood shed by the damaged blood vessels within the bone. This collection, or pool, of blood is known as a hematoma. Injection of a suitable local anesthetic by needle and syringe through the skin into this hematoma produces relief of the pain caused by the fracture, allowing the bones to be painlessly manipulated.[ citation needed ]

Complications

Hematoma blocks have a low risk of complications. [2]

Related Research Articles

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<span class="mw-page-title-main">Nasal septal hematoma</span> Medical condition

Nasal septal hematoma is a condition affecting the nasal septum. It can be associated with trauma.

<span class="mw-page-title-main">Bennett's fracture</span> Medical condition

Bennett fracture is a type of partial broken finger involving the base of the thumb, and extends into the carpometacarpal (CMC) joint.

<span class="mw-page-title-main">Humerus fracture</span> Medical condition

A humerus fracture is a break of the humerus bone in the upper arm. Symptoms may include pain, swelling, and bruising. There may be a decreased ability to move the arm and the person may present holding their elbow. Complications may include injury to an artery or nerve, and compartment syndrome.

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A nasal fracture, commonly referred to as a broken nose, is a fracture of one of the bones of the nose. Symptoms may include bleeding, swelling, bruising, and an inability to breathe through the nose. They may be complicated by other facial fractures or a septal hematoma.

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Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth. Often the teeth will not feel properly aligned or there may be bleeding of the gums. Mandibular fractures occur most commonly among males in their 30s.

<span class="mw-page-title-main">Supracondylar humerus fracture</span> Medical condition

A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children. In children, many of these fractures are non-displaced and can be treated with casting. Some are angulated or displaced and are best treated with surgery. In children, most of these fractures can be treated effectively with expectation for full recovery. Some of these injuries can be complicated by poor healing or by associated blood vessel or nerve injuries with serious complications.

References

  1. Tseng, Ping-Tao; Leu, Tsai-Hsueh; Chen, Yen-Wen; Chen, Yu-Pin (December 2018). "Hematoma block or procedural sedation and analgesia, which is the most effective method of anesthesia in reduction of displaced distal radius fracture?". Journal of Orthopaedic Surgery and Research. 13 (1): 62. doi:10.1186/s13018-018-0772-7. PMC   5869786 .
  2. Dunn, Sean. "Hematoma Block For the Closed Reduction of Fractures" (PDF). Retrieved 18 May 2015.