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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
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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. |
format | Online Article Text |
id | pubmed-6394198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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