Gottlieb Michael, Suleiman Linda I
Assistant Professor and Director of Ultrasound (Gottlieb), Department of Emergency Medicine, Rush University Medical Center, Chicago, IL; Assistant Professor (Suleiman), Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.
Pediatr Emerg Care. 2019 Apr;35(4):293-298. doi: 10.1097/PEC.0000000000001805.
Pediatric orthopedic injuries are a common reason for presentation to the emergency department. This article sequentially discusses 2 important upper extremity injuries that require prompt management in the emergency department. Radial head subluxations are discussed with a focus on current evidence for imaging, reduction techniques, and follow-up. Elbow dislocations, although less common than radial head subluxations, are also addressed, highlighting imaging, reduction, immobilization, and follow-up recommendations.
小儿骨科损伤是急诊就诊的常见原因。本文依次讨论了两种需要在急诊科进行及时处理的重要上肢损伤。文中讨论了桡骨头半脱位,重点是影像学检查、复位技术及随访的现有证据。肘关节脱位虽然不如桡骨头半脱位常见,但也进行了阐述,强调了影像学检查、复位、固定及随访建议。