Regional Blocks for Pediatric Lateral Condyle Fractures

This study is looking at ways to manage pain after surgery for children aged 4 to 12 who have a specific type of broken arm bone called a closed lateral condyle fracture (a break in the outer part of the elbow bone that doesn't break the skin). Researchers are comparing two approaches: one group of children will receive a regional nerve block (infraclavicular nerve block) using Ropivacaine before surgery, while the other group will follow the standard pain management plan. The main goal is to see if the nerve block helps reduce pain after surgery, as measured by the Wong-Baker FACES Pain Scale-Revised (a pain scale using faces) at 24 hours, 48 hours, and 1 week after the operation. The study aims to enroll 90 participants, but its current status is unclear.

Study design
This is a double-blinded, randomized controlled trial, meaning neither you nor the doctors will know which treatment group you are in. It plans to enroll 90 participants.
What's involved
You would be evaluated at OIC's pediatric urgent care center, receive a long arm splint, and take acetaminophen and/or ibuprofen for pain as needed. Your pain level will be assessed post-operatively, and your parents will complete a satisfaction questionnaire.
Compensation
Not stated in the trial record.
Follow-up
Your pain will be measured at 24 hours, 48 hours, and 1 week after surgery.

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NCT03796572

Regional Blocks for Lateral Condyle Fractures

Recruiting
PHASE4Ages 4–12InterventionalTreatment
University of California, Los Angeles
~90 participants
Updated 2026-05-05 on ClinicalTrials.gov
What's tested:RopivacainePuncture Wound and Dressing

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Wong-Baker FACES Pain Scale-Revised (FPSR)
Measured over 24 hours, 48 hours, and 1 week post-operatively
Fractures, Closed
Humeral Fractures
Pain
1 sites across 1 states
California1

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Isolated lateral condyle humerus fracture
Closed lateral condyle humerus fracture
Weiss classification type II and III (\>2mm displacement) lateral condyle fractures
Fractures treated with open reduction percutaneous pinning requiring fixation

Exclusion

Open fractures
Fractures with concomitant vascular or neurologic deficit
Pathologic fractures
Those presenting with concomitant injuries
Swelling requiring post-operative hospitalization for monitoring
Any known history of allergies to ropivacaine or oxycodone
Patients with developmental delay that would preclude participation in the visual analog Faces Pain Scale-Revised
  • Change in Wong-Baker FACES Pain Scale-Revised (FPSR)24 hours, 48 hours, and 1 week post-operatively

    Self reported measure of pain on scale ranging from 0 to 10. 0 (best) equals no pain and 10 (worst) equals worse pain imaginable.