• Ahmet Issin, Hakan Yurten, and Seçkin Özcan.
• Erzincan Binali Yıldırım University, Mengücek Gazi Education and Research Hospital Orthopedics and Traumatology Department, Erzincan, Turkey.
• Injury. 2024 Jul 1; 55 (7): 111614111614.

BackgroundThis study aims to measure the perceived pain during the reduction of Colles fracture without anesthesia in both children and adults. It describes the process and reveals duration for reduction, total hospital stays and compares them with the same procedure under hematoma block.MethodsWe employed the Wong-Baker FACES pain scale to assess pain reduction in 135 adults and 98 pediatric patients undergoing Colles fracture reduction with or without hematoma block. We also measured the time required for the reduction and the overall process.ResultsFor fracture reduction without anesthesia, Wong-Baker FACES scores were 9.2 for children and 8.7 for adults. With hematoma block, scores dropped to 7.5 for children and 5.2 for adults with only a 10 min addition to the hospital stay. Pain scores among pediatric patients exhibited moderate to strong negative correlations with age. The reduction maneuver itself took an average of 5 s.ConclusionsThe reduction of a Colles fracture is nearly instantaneous, making the reduction without anesthesia tolerable. Pediatric patients don't benefit from hematoma block as much as adult counterparts. It significantly reduced pain scores by 1.7 points in children and 3.5 points in adults.Level Of EvidenceLevel I, Randomized Controlled Trial.Copyright © 2024. Published by Elsevier Ltd.

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