Do Reduction Maneuvers Affect Recurrence in Pediatric Radial Head Subluxation? A Ten-Year Retrospective Analysis.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2026-04-21 eCollection Date: 2026-08-01 DOI:10.1007/s43465-026-01785-3

Mehmet Boz, Gülseda Boz, Tarik Altunkılıç, Bünyamin Arı, İsmail Güzel, Ümit Yasin Barbak

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引用次数: 0

Abstract

Background: This study aimed to determine whether the choice of reduction maneuver in patients presenting to the emergency department with nursemaid's elbow influences the likelihood of recurrent dislocation. Additionally, the study sought to describe the epidemiological characteristics of these cases.

Methods: This retrospective study included 1359 patients diagnosed with nursemaid's elbow who presented to the Emergency Department of Malatya Training and Research Hospital from January 2015 to June 2025. Data on demographics, side affected, radiographic evaluation, reduction maneuver, and recurrence were analyzed. The chi-square test was used for statistical analysis, with p < 0.05 considered significant.

Results: The median age was 2 years, with 61.2% female. Most cases (88.1%) were in the 0-3-year age group. Left-sided involvement accounted for 63.0%, right-sided involvement 37.0%. Hyperpronation was used in 68.4%, supination-flexion in 31.6%. Recurrence rate was 4.8%, higher with right elbows and supination-flexion (p < 0.05).

Conclusion: Nursemaid's elbow was more common in children under three, particularly girls, and affected the left arm. Recurrence was lower after hyperpronation than after supination-flexion.

Level of evidence: Retrospective analysis study.

查看原文本刊更多论文

复位手法会影响儿童桡骨头半脱位的复发吗？十年回顾性分析。

背景：本研究旨在确定急诊护士肘患者复位手法的选择是否会影响复发性脱位的可能性。此外，该研究试图描述这些病例的流行病学特征。方法：回顾性研究2015年1月至2025年6月在马拉提亚培训研究医院急诊科就诊的1359例确诊为护士肘的患者。分析了人口统计学、副作用、影像学评价、复位操作和复发的数据。采用卡方检验进行统计学分析，p。结果：中位年龄为2岁，女性占61.2%。大多数病例（88.1%）发生在0-3岁年龄组。左侧病变占63.0%，右侧病变占37.0%。68.4%的患者采用过前旋，31.6%的患者采用旋前屈。复发率为4.8%，右肘部和旋后屈曲部位复发率较高(p)结论：护士肘常见于3岁以下儿童，尤其是女童，并累及左臂。过旋后复发率低于旋后屈曲后复发率。证据水平：回顾性分析研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.