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Related Experiment Videos

Pulled elbow: a study of 100 patients.

C M Illingworth

    British Medical Journal
    |June 21, 1975
    PubMed
    Summary

    Pulled elbow, a common pediatric injury, often goes unrecognized. This study highlights its prevalence in toddlers and effective treatment through manipulation.

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    Area of Science:

    • Pediatric Orthopedics
    • Musculoskeletal Injuries
    • Child Health

    Background:

    • Pulled elbow (annular ligament להיפרדות) is a frequent yet often overlooked pediatric condition.
    • It predominantly affects children aged 1-2 years, with a maximum age of 6 years.
    • The normal recalcitrance of toddlers (1-3 years) is a key precipitating factor.

    Purpose of the Study:

    • To investigate the characteristics and management of pulled elbow in a pediatric cohort.
    • To raise awareness among practitioners regarding this common injury.
    • To identify predisposing factors and treatment outcomes.

    Main Methods:

    • Retrospective analysis of 100 children diagnosed with pulled elbow.
    • Clinical evaluation of age, precipitating factors, and pain location.
    • Assessment of treatment success rates for manual reduction techniques.

    Main Results:

    • The majority of cases (100 children) occurred in 1-2 year olds; none were over 6 years.
    • Wrist pain was frequently reported alongside elbow pain.
    • A single manipulation successfully treated 96% of cases, with some requiring multiple attempts.

    Conclusions:

    • Pulled elbow is a common injury in young children, often linked to toddler-specific behaviors.
    • Early recognition and prompt manual reduction are crucial for successful treatment.
    • While generally effective, multiple manipulations may be necessary in some instances.

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