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Visualizing the Real Time Reduction of Pulled Elbow Using Point of Care Ultrasound (POCUS).
POCUS J
November 2024
Paediatric Emergency Department, Sunderland Royal Hospital Sunderland UK.
POCUS is a useful tool for correctly identifying pulled elbow. We believe that clinicians working in Pediatric Emergency Departments should be encouraged to embrace using it in cases which are less straightforward - either due to an atypical history or based on examination findings. This will serve to not only increase safety and improve the patient journey, but also to improve the clinician's confidence in their practice.
View Article and Find Full Text PDFA Rare Atypical Case of a Pulled Elbow in an Infant.
Cureus
November 2024
Orthopaedics, University of Putra Malaysia, Serdang, MYS.
A pulled elbow is a common type of injury in children aged one to four years, where the forearm is pulled in an extended pronated position. There are a few cases of pulled elbow reported in children under one year old. We experienced an atypical pulled elbow case in a six-month-old girl after her mother rolled her from a right lateral position to a supine position, leaving her arm trapped behind her back.
View Article and Find Full Text PDFComparison of supination/flexion maneuver to hyperpronation maneuver in the reduction of radial head subluxations: A randomized clinical trial.
Am J Emerg Med
November 2024
University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey.
Objective: This randomized controlled trial aimed to compare the effectiveness of supination/flexion (SF) and hyperpronation (HP) maneuvers in the management of radial head subluxation (RHS) in children ≤6 years old presenting to the emergency department.
Methods: Patients were randomly allocated to one of two treatment arms. Following the application of the respective reduction maneuver, maneuver success was assessed after 10 min.
Upper Extremity Pseudoparalysis: A Case Report of Bilateral Nursemaid's Elbows.
Cureus
October 2024
Emergency Medicine, Southeast Health Medical Center, Dothan, USA.
Radial head subluxation (RHS), commonly known as 'nursemaid's elbow,' typically presents in pediatric patients with acute-onset unilateral arm pain and pseudoparalysis. The classic mechanism of injury involves a longitudinal traction force pulling the radial head through the annular ligament. Bilateral RHS is exceedingly rare, with only a few cases documented in the literature; notably, all cases with a provided history and physical exam presented with the classic mechanism of injury, aiding in diagnosis and treatment.
View Article and Find Full Text PDFWhat is the utility of point-of-care ultrasound for suspected pulled elbow? A single-centre case series.
J Paediatr Child Health
November 2024
Paediatric Emergency Department, Sunderland Royal Hospital, Sunderland, United Kingdom.
Article Synopsis
- Radial head subluxation, commonly called pulled elbow, often presents in young children at emergency departments; many cases involve unclear histories or require challenging examinations.
- A study aimed to evaluate the effectiveness of point-of-care ultrasound (POCUS) in identifying suspected pulled elbow cases among children aged 0-5 years.
- Results showed that POCUS accurately identified all cases of pulled elbow, achieving 100% sensitivity and specificity, thus supporting its use as a reliable diagnostic tool in pediatric settings.
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