Sevencan Adnan, Aygün Ümit, İnan Ulukan, Ömeroğlu Hakan
aDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir bİzzet Baysal State Hospital, Clinics of Orthopaedics and Traumatology, Bolu, Turkey.
J Pediatr Orthop B. 2015 Sep;24(5):385-8. doi: 10.1097/BPB.0000000000000182.
The aim of this case series was to assess the data of 66 children (mean age 28 months) with a diagnosis of pulled elbow. The most common time interval of injury was 12-6 p.m. and spring was the peak season. Children younger than 2 years of age had a higher rate of atypical injury history. A successful reduction by supination and flexion maneuver was achieved at the first attempt in 57 of 66 patients. The patients admitted to the hospital within the first 2 h following the injury had a higher rate of successful reduction at the first attempt. The rate of radiographic examination was considerably high and a well-defined algorithm to avoid the complicacy in ordering a plain radiograph in such cases was suggested. All patients achieved full clinical recovery after a mean follow-up of 2 years, and recurrence was observed in 16 of 66 children.
本病例系列的目的是评估66例诊断为桡骨小头半脱位的儿童（平均年龄28个月）的数据。最常见的受伤时间间隔是下午12点至6点，春季是高峰期。2岁以下儿童非典型损伤史的发生率较高。66例患者中有57例在首次尝试时通过旋后和屈曲手法成功复位。受伤后2小时内入院的患者首次尝试成功复位的几率更高。X线检查的比例相当高，并提出了一种明确的算法，以避免在这种情况下开具普通X线片时出现复杂性。所有患者在平均随访2年后均实现了完全临床康复，66例儿童中有16例出现复发。
