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Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study

BACKGROUND: Nursemaid's elbow (NE) represents the most common pathology met in the pediatric orthopedics ambulatory. There are two techniques of reducing the NE: the supination-flexion technique and the hyperpronation or forced pronation technique. MATERIALS AND METHODS: In this randomized clin...

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Autores principales: Ulici, Alexandru, Herdea, Alexandru, Carp, Madalina, Nahoi, Catalin Alexandru, Tevanov, Iulia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394198/
https://www.ncbi.nlm.nih.gov/pubmed/30905991
http://dx.doi.org/10.4103/ortho.IJOrtho_442_17
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author Ulici, Alexandru
Herdea, Alexandru
Carp, Madalina
Nahoi, Catalin Alexandru
Tevanov, Iulia
author_facet Ulici, Alexandru
Herdea, Alexandru
Carp, Madalina
Nahoi, Catalin Alexandru
Tevanov, Iulia
author_sort Ulici, Alexandru
collection PubMed
description BACKGROUND: Nursemaid's elbow (NE) represents the most common pathology met in the pediatric orthopedics ambulatory. There are two techniques of reducing the NE: the supination-flexion technique and the hyperpronation or forced pronation technique. MATERIALS AND METHODS: In this randomized clinical study, we aim to compare the two reduction techniques of the NE, by measuring the effectiveness of each and scaling the pain felt by the child, by using the Faces Pain Scale. The study included 116 patients with typical presentation for NE with age under 7 years old (mean age ~3 years old), 45% of males and 55% of females. RESULTS: Hyperpronation was found to be more successful than supination-flexion technique as a first attempt (85% vs. 53%), second attempt (50% vs. 28%), and as a crossover technique (100% vs. 50%) when supination-flexion failed. CONCLUSIONS: This study concludes that hyperpronation technique should be used as a first maneuver reduction in treating NE, a simple one-movement technique.
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spelling pubmed-63941982019-03-22 Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study Ulici, Alexandru Herdea, Alexandru Carp, Madalina Nahoi, Catalin Alexandru Tevanov, Iulia Indian J Orthop Original Article BACKGROUND: Nursemaid's elbow (NE) represents the most common pathology met in the pediatric orthopedics ambulatory. There are two techniques of reducing the NE: the supination-flexion technique and the hyperpronation or forced pronation technique. MATERIALS AND METHODS: In this randomized clinical study, we aim to compare the two reduction techniques of the NE, by measuring the effectiveness of each and scaling the pain felt by the child, by using the Faces Pain Scale. The study included 116 patients with typical presentation for NE with age under 7 years old (mean age ~3 years old), 45% of males and 55% of females. RESULTS: Hyperpronation was found to be more successful than supination-flexion technique as a first attempt (85% vs. 53%), second attempt (50% vs. 28%), and as a crossover technique (100% vs. 50%) when supination-flexion failed. CONCLUSIONS: This study concludes that hyperpronation technique should be used as a first maneuver reduction in treating NE, a simple one-movement technique. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6394198/ /pubmed/30905991 http://dx.doi.org/10.4103/ortho.IJOrtho_442_17 Text en Copyright: © 2019 Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ulici, Alexandru
Herdea, Alexandru
Carp, Madalina
Nahoi, Catalin Alexandru
Tevanov, Iulia
Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title_full Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title_fullStr Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title_full_unstemmed Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title_short Nursemaid's Elbow – Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study
title_sort nursemaid's elbow – supination-flexion technique versus hyperpronation/forced pronation: randomized clinical study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394198/
https://www.ncbi.nlm.nih.gov/pubmed/30905991
http://dx.doi.org/10.4103/ortho.IJOrtho_442_17
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