A SIMPLE METHOD FOR REDUCTION OF TRAUMATIC SUBLUXATION OF THE RADIAL HEAD (PULLED ELBOW)

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PAHLAVAN HOSEINI H.

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Journal: Journal of Shahid Sadoughi University of Medical Sciences Year:2002 | Volume:9 | Issue:4 Page(s): 10-14

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Title

A SIMPLE METHOD FOR REDUCTION OF TRAUMATIC SUBLUXATION OF THE RADIAL HEAD (PULLED ELBOW)

Author(s)

PAHLAVAN HOSEINI H. | Issue Writer Certificate

Keywords

PULLED ELBOWQ4

TRAUMATIC SUBLUXATIONQ4

RADIAL HEADQ3

Abstract

PULLED ELBOW is one of the most common musculoskeletal injuries in children under four years of age. The lesion is caused by sudden traction on the wrist while the elbow is extended and forearm is pronated. In pronation, the lateral edge of the RADIAL HEAD which opposes the annular ligament is narrower and rounded at it's margin. The RADIAL HEAD is oval in shape and in pronation, the narrowest diameter of the RADIAL HEAD is in the anteroposterior plane. After longitudinal traction, a transverse tear in the annular ligament occurs, the anterior portion of the RADIAL HEAD escapes from under the annular ligament and subluxation occurs. Most authors recommend that the reduction can be achieved by supinating the forearm (reversing the mechanism). This outcome study without a control group, reviewed 29 cases of "PULLED ELBOW" which referred to the hospital or a private clinic from Dec 2000 to Dec 2001. In this study, all subluxations were reduced by hyper pronation of the forearm while the elbow was in semiflexion (exaggerating the mechanism). The logic reason is that the anatomical situation of the RADIAL HEAD and annular ligament is in pronation.

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APA: Copy

PAHLAVAN HOSEINI, H.. (2002). A SIMPLE METHOD FOR REDUCTION OF TRAUMATIC SUBLUXATION OF THE RADIAL HEAD (PULLED ELBOW). JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, 9(4), 10-14. SID. https://sid.ir/paper/35678/en

Vancouver: Copy

PAHLAVAN HOSEINI H.. A SIMPLE METHOD FOR REDUCTION OF TRAUMATIC SUBLUXATION OF THE RADIAL HEAD (PULLED ELBOW). JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2002;9(4):10-14. Available from: https://sid.ir/paper/35678/en

IEEE: Copy

H. PAHLAVAN HOSEINI, “A SIMPLE METHOD FOR REDUCTION OF TRAUMATIC SUBLUXATION OF THE RADIAL HEAD (PULLED ELBOW),” JOURNAL OF SHAHID SADOUGHI UNIVERSITY OF MEDICAL SCIENCES, vol. 9, no. 4, pp. 10–14, 2002, [Online]. Available: https://sid.ir/paper/35678/en

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