Publication: Pulled Elbow: Is X-ray Evaluation Really Required?
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Uprety, S | |
| dc.contributor.author | Bhandari, PS | |
| dc.date.accessioned | 2026-04-21T05:00:44Z | |
| dc.date.available | 2026-04-21T05:00:44Z | |
| dc.date.issued | 2017 | |
| dc.description | S Uprety Department of Pulmonology and Critical Care Medicine, Institute of Medicine, Kathmandu PS Bhandari Department of Pulmonology and Critical Care Medicine, Institute of Medicine, Kathmandu | |
| dc.description.abstract | Abstract Introduction: Pulled elbow is a unique condition affecting paediatric population. The mechanism of injury is well stated by the child's patents. The condition is benign and passes uneventfully following a simple reduction manoeuvre in outpatient department. The condition is detected and treated easily by experts hands but to an unwary clinician may suspect it to be a bony injury and patient may be subjected to x-ray evaluation. The study was conducted to address the need to clinically identifying the condition and treating it without subjecting the patient to x-ray Distribution Users & Roles. Methods: This was prospective study carried out in the department of orthopaedics and trauma surgery Tribhuvan university teaching hospital A total of 20 patients with 21 of total limb were included in the study. Age of the children ranged from 2-6 years of age. The reduction of elbow was done by hyperpronation technique and confirmed by feeling the click at radial head with improvement of symptoms. Result: Among 21 elbows click of reduction was felt in 19. In two elbows no click of reduction was felt and these patients were subjected to x-ray evaluation. The elbow radiographs were normal and patient improved subsequently. Conclusion: A careful history taking with good clinical examination is all that is required for diagnosis and prompt treatment of the condition. An x-ray evaluation is not necessary with proper history is taken and when reduction click is felt and the child shows improvement the child can safely be discharged. Keywords: Pulled elbow, Hyperpronation manocurve, x-ray evaluation | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.837 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5822 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Pulled elbow | |
| dc.subject | Hyperpronation manocurve | |
| dc.subject | x-ray evaluation | |
| dc.title | Pulled Elbow: Is X-ray Evaluation Really Required? | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 28 | |
| oaire.citation.startPage | 26 | |
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