II. Indications

  1. Clean, closed Fracture site
  2. Fracture sites where Hematoma Block used
    1. Distal Radius Fracture
    2. Phalanx Fracture
    3. Ankle Fracture (by orthopedics)

III. Contraindications

  1. Contaminated area or open Fracture
  2. Young children

IV. Protocol

  1. Clean and prep area with betadine or hibiclens
  2. Identify hematoma by aspirating blood
    1. Flash back of blood from Fracture site usually seen
  3. Inject Lidocaine 1-2% without Epinephrine into Fracture site
  4. Aspirate blood from Fracture site after injection
  5. Reinject with aspirated fluid a few times
    1. Blood Volume aspirated equals initial Lidocaine vol.

Images: Related links to external sites (from Bing)

Related Studies (from Trip Database) Open in New Window

Ontology: Fracture infiltration with local anesthetic (C0472452)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 231303004
English Fracture infiltration LA, Fracture block, Fracture infiltration with local anaesthetic, Fracture infiltration with local anesthetic, Haematoma block, Hematoma block, Fracture infiltration with local anesthetic (procedure)
Spanish infiltraciĆ³n en fractura con anestesia local (procedimiento), infiltraciĆ³n en fractura con anestesia local