SPSS Pulled Elbow nursemaids' elbow

Transcription

1 MD MD * * SPSS Pulled nursemaids' elbow Elbow

2 (nnular Ligament

3 TCD4 + TGF- 1 SPSS (Sliage)

4 1. Jongschaa HC,Youngson GG, Beattie TF. The eidemiology of radial head subluxation (ulled elbow) in the Aberdeen city area. Health Bull (Edinb) 1990; 48: Schutzman SA, Teach S. Uer extremity imairment in young children. Ann Emerg Med 1995; 26: Brenner RA, Scheidt PC, Rossi MW, et al. Injury surveillance in the ED: Design, imlementation, and analysis. American Journal of Emergency Medicine, 2002; 20(3): Brown D. Emergency Deartment Visits for Nursemaid's Elbow in the United States, Orthoaedic Nursing Journal. 2009; 28 (4): Radial Head Subluxation: Comaring Two Methods of Reduction McDonald U, Whitela CW, Goldsmith LJ.Academic Emergency Medicine.1999; 6: Rodts MF. Nursemaid's Elbow A Preventable Pediatric Injury. Orthoaedic Nursing Journal. 2009; 28 (4): Lewis D, Argall J, Mackway-Jones K. Reduction of ulled elbows. Emerg Med J. 2003; 20: Schun KJ. Radial head subluxation: eidemiology and treatment of 87 eisodes. Ann Emerg Med.1990; 19(9): Bek O, Yildiz C, Kose O. Pronation versus suination maneuvers for the reduction of ulledelbow : a randomized clinical trial. Euroean Journal of Emergency Medicine. 2009; 16: Folman SS, Mann YG, Kots Y, et al. The role of Sonograhy in detecting radial head subluxation in a child, case reort. J clinical ultrasound. 2005; 33(4): Moon KC, Eckhardt BP, Craing C. et al. Ultra- Sonograhy of the annular ligament artial tear and recurrent "Pulled elbow". Case reort. Petiatr Raiol.2004; Hamer AJ, Monaghan D, Steiner GM. Investigation of "ulled elbow" in children by ultrasound scans. Journal of Orthoaedics. 1993; 2:

5 TCD Frumkin K, Nursemaid's elbow: a radiograhic demonstration. Ann Emrerg. Med. 1985: 14(7): Choung W, Heinrich SD. Acute annular ligament interosition into the radio-caitellar joint in children (nursemaid's elbow). J ediatre. Ortho. 1995; 15: Hutchinson J. On certain obscure srains of the elbow occurring in young children. Ann Surg.1885; 2: Hutchinson J. Partial dislocation of the head of the radius eculiar to children. Br Med J. 1886; 1: Lyver MB. Radial head subluxation [letter]. J Emerg Med. 1990; 8: Macias CG, Bothner J, Wiebe R. A comarison of suination/flexion to hyer-ronation in the reduction of radial head subluxations. Pediatrics.1998; 102:e Green DA, Linares MR, Garcia Pena BM. Randomized Comarison of Pain Percetion During Radial Head Subluxation Reduction Using Suination- Flexion or Forced Pronation. Pediatric Emergency Care.2006; 22(4): Ellen Hoffmeister. Clinicians and Researchers Offer Recommendations for Diagnosing, Treating Nursemaid's Elbow (CME). Liincott's Bone and Joint Newsletter. 2010; 16(4): Taha AM. The treatment of Pulled Elbow: A rosective randomized study. Arch Ortho Trauma Surg. 2000;120: TGF Van Arsdale WW. Subluxation of the head of the radius in children. Ann Surg1889; 9: Magill HK, Aitken AP. Pulled elbow. Surg Gynecol Obstet. 1954; 98: Wolfram W, Boss DN. Pediatrics, nursemaid elbow, emedicine. 2009; htt://emedicine.medscae.com/article/ overview. 25. Corella F, Horna L, Villa A,et al. Irreducible ulled elbow : reort of two cases and review of the literature. J Pediatr Ortho B. 2010; 19: Triantafyllou SJ, Wilson SC, Rychak, JS. Irreducible "Pulled Elbow" in a Child: A Case Reort. Clinical Orthoaedics and Related Research.1992; 284: Michaeles MG. A case of bilateral nursemaid's elbow. Pediatric emergency care. 1989; 5(4): Kajiwara R, Sunagawa T, Ishida O. Irreducible ulled elbow in an adult: A case reort. J Shoulder Elbow Surg.2007; 16(1):e Pearson BV, Khuns DW. Nursemaid s elbow in a 31-year-old female. doi: /j.ajem Poinsot G. Dislocation of the head of the radius downward by elongation. NY Med J.1885; 441: Lindeman SH. Partial dislocation of the head of the radius eculiar to children. Br Med J.1885; 2:

6 Comarison the Method of wrist Suination with Elbow Flexion as Classical Method with Hyerronation Method in Reduction of Radial Head Subluxation in Less than 7 Years Old Children Asadi K.(MD) 1 - Mardani M.(MD) 2 *Corresonding Address: Poorsina Hosital, Guilan University of Medical Sciences, Rasht, IRAN kam_asadi@yahoo.com Received: 17/Aug/2010 Acceted: 12/Oct/2010 Abstract Introduction: The radial head subluxation is a common cause in less than 7 years old children who refered to emergency center after ulling of their wrist by arents. Objective: Comare the method of wrist suination with elbow flexion as classical method with hyerronation method in reduction of radial head subluxation (ulled elbow) in children less than 7 years old referig to oorsina hosital during Materials and Methods: In this randomized clinical trial, children who had referred to Poursina orthoedic emergency center with clinical diagnosis of radial head subluxation were studied consequent. Patients were randomly treated as consequent male and female with one of two methods. The atients were checked in order to diagnosis extremity function's return every 5 minutes. If extremity function had not returned, the rimary method was reeated after 15 minutes. Unsuccessful treatment led to treatment with another method 30 minutes after first try. That method reeated if relacing method was not successful after 15 minutes. If both methods were unsuccessful, elbow radiograhy to roll-out other injury was erformed. After collecting data, analysis was erformed using chi- square test and T- test with SPSS software version 16. Results: Among 110 atients were included in this study with average age (4.05±1.51 years) 58 atients (3.91±1.41 years) with first method () and 52 atients (4.21±1.62 years) with second method were treated. (P=0.31) %62.7 of atients were male and the remaining were female (%37.3). In 47 atients (%90.4) of 52 atients who were treated by () method. This was 46 atients (%79.3) from 58(P=0.11). Five atients of () grou needed second attemt where as this number were 12 about (F) grou. Treatment with () method was successful in 100 ercent atients, but successful rate was %87.9 for (SP) method. There was significant sueriority of () success in comarison to () (P+0/006). Conclusion: In reduction of radial head subluxation() method was more successful uination method in reduction of radial head, it is more successful than suination, when suination was not successful than() method. Key words: Children Trauma/ Elbow Joint/ Radial head subluxation/ Suination/ Pronation/ Treatment outcome Journal of Guilan University of Medical Sciences, No: 77, Pages: Poorsina Hosital, Guilan University of Medical Sciences, Rasht, IRAN

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