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Revista Cubana de Pediatría

ISSN 1561-3119 (Electronic)
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2017, Number 1

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Rev Cubana Pediatr 2017; 89 (1)

Treatment of the nursemaid'elbow at the primary health care

Hernández SA
Full text How to cite this article

Language: Spanish
References: 10
Page: 86-91
PDF size: 83.59 Kb.


Key words:

luxations, elbow, joint ligaments.

ABSTRACT

The nursemaid's elbow is a frequent reason for consultation in the primary health care dealing with the pediatric population. It is then fundamental for the physicians and the rest of the health staff to learn about the present concepts on the mechanism of trauma and pathology in order to properly identify it through good diagnosis based on the medical history, the clinical presentation and the physical exam and presence of subluxation of the radial head due to annular ligament displacement, to timely apply the adequate reduction techniques and to assess the progress, avoiding the use of Xrays that unnecessarily exposes this type of patients to radiations.


REFERENCES

  1. Lucas JK. Nursemaid's Elbow. Atlas of Emergency Medicine Procedures. New York: Springer; 2016. p. 731-5.

  2. Vitello S, Dvorkin R, Sattler S, Levy D, Ung L. Epidemiology of Nursemaid's Elbow. West J Emerg Med. 2014 Aug;5(4):554-7.

  3. Irie T, Sono T, Hayama Y, Matsumoto T, Matsushita M. Investigation on 2 331 cases of pulled elbow over the last 10 years. Pediatr Rep. 2014 May;6(2):5090.

  4. Sankar NS. Pulled elbow. J R Soc Med. 1999;92(9):462-4.

  5. Hardy RH. Pulled elbow. J R Coll Gen Pract. 1978 Apr;28(189):224-6.

  6. Kaplan RE, Lillis KA. Recurrent nurse maid'selbow (annular ligament displacement) treatment via telephone. Pediatrics. 2002 Jul;110(1):171-4.

  7. Dohi D. Confirmed specific ultrasonographic findings of pulled elbow. J Pediatr Orthop. 2013;33(8):829-31.

  8. Sohn Y, Lee Y, Oh Y, Lee W. Sonographic finding of a pulled elbow: the "hook sign". Pediatr Emerg Care. 2014 Dec;30(12):919-21.

  9. García-Mata S, Hidalgo-Ovejero A. Efficacy of reduction maneuvers for "pulled elbow" in children: a prospective study of 115 cases. J Pediatr Orthop. 2014 Jun;34(4):432-6.

  10. Guzel M, Salt O, Demir MT, Akdemir HU, Durukan P, Yalcin A. Comparison of hyperpronation and supination-flexion techniques in children presented to emergency department with painful pronation. Niger J Clin Pract. 2014 Mar-Apr;17(2):201-4.




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Rev Cubana Pediatr. 2017;89