The purpose of this study is to investigate the post-operative pain control in pediatric
patients with closed lateral condyle fractures who undergo open reduction and percutaneous
pinning. Patients will be randomized into one of two groups. Group 1 will receive an
infraclavicular nerve block to the affected extremity by a fellowship trained pediatric
anesthesiologist prior to surgery. Group 2 will undergo the Orthopaedic Institute of
Children's (OIC) standard preoperative protocol. Post-operative pain management will be the
same for both groups per standard protocol. Pain level will be assessed post-operatively
using the Wong-Baker FACES scale and parents will be asked to fill out a questionnaire
regarding their satisfaction with the surgery and pain control. Parents will also fill out a
medication log until the patient no longer requires pain medication. All patients in both
groups will receive standard oxycodone solution prescriptions post-operatively as per typical
protocol. The duration of participation in the study is approximately 1 week and requires 2
visits (time of recruitment at surgery and 1st post-op visit). This study is being conducted
in hopes of developing comprehensive pain management protocols to reduce opioid consumption
after surgical fixations of displaced lateral condyle fractures if the study can show that
patients are more satisfied and require less opioid medication when receiving preoperative
regional anesthesia.