Taha A M
Department of Surgery, American University of Beirut Medical Center, Lebanon.
Arch Orthop Trauma Surg. 2000;120(5-6):336-7. doi: 10.1007/s004020050477.
To evaluate the effectiveness in decreasing recurrence of cast application after manual reduction of pulled elbow. Sixty-four children with pulled elbow were randomized into two treatment groups: Group A underwent manipulative reduction followed by splinting the elbow in a flexed and supinated position for 2 days; group B underwent manipulative reduction only. Both groups were examined 2, 5, and 10 days later. None of the 33 patients in group A had a pulled elbow at follow-up. Four (13%) of 31 patients in group B had a pulled elbow 2-5 days later. Immobilizing the elbow for 2 days after manipulative reduction improves the success of treatment of a pulled elbow.
评估手法复位小儿桡骨小头半脱位后减少石膏固定复发率的有效性。64例小儿桡骨小头半脱位患儿被随机分为两组：A组行手法复位，然后将肘部固定于屈曲旋后位2天；B组仅行手法复位。两组均在2天、5天和10天后进行检查。A组33例患者随访时均无桡骨小头半脱位复发。B组31例患者中有4例（13%）在2 - 5天后出现桡骨小头半脱位复发。手法复位后将肘部固定2天可提高小儿桡骨小头半脱位的治疗成功率。
