使用床旁超声（POCUS）可视化桡骨小头半脱位的实时复位过程。
Visualizing the Real Time Reduction of Pulled Elbow Using Point of Care Ultrasound (POCUS).
作者信息
Mccreary David J, Mrcph Mbbs, Us Pgc
机构信息
Paediatric Emergency Department, Sunderland Royal Hospital Sunderland UK.
出版信息
POCUS J. 2024 Nov 15;9(2):30-31. doi: 10.24908/pocus.v9i2.17961. eCollection 2024.
Abstract
POCUS is a useful tool for correctly identifying pulled elbow. We believe that clinicians working in Pediatric Emergency Departments should be encouraged to embrace using it in cases which are less straightforward - either due to an atypical history or based on examination findings. This will serve to not only increase safety and improve the patient journey, but also to improve the clinician's confidence in their practice. This is the first ever documented instance where the reduction of pulled elbow has been demonstrated in real time using POCUS.
摘要
床旁超声（POCUS）是正确识别桡骨小头半脱位的有用工具。我们认为，应鼓励在儿科急诊科工作的临床医生在病情不太明确的情况下使用它，这些情况要么是由于病史不典型，要么是基于检查结果。这不仅有助于提高安全性和改善患者就医过程，还能增强临床医生对其执业的信心。这是首次有文献记载使用床旁超声实时演示桡骨小头半脱位复位的实例。
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本文引用的文献
1
The Usefulness of Dynamic Ultrasonography in Nursemaid's Elbow: A Prospective Case Series of 13 Patients Reconsideration of the Pathophysiology of Nursemaid's Elbow.超声动态检查在婴儿桡骨头半脱位中的作用：13 例前瞻性病例系列研究对婴儿桡骨头半脱位发病机制的再认识。
J Pediatr Orthop. 2023 Jul 1;43(6):e440-e445. doi: 10.1097/BPO.0000000000002401. Epub 2023 Mar 24.
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Management and Outcomes of Children With Nursemaid's Elbow.保姆肘（又称牵拉肘）患儿的管理和预后。
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Two- plane point of care ultrasonography helps in the differential diagnosis of pulled elbow.两维现场即时超声检查有助于鉴别牵拉肘。
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Manipulative interventions for reducing pulled elbow in young children.用于减少幼儿牵拉肘的手法干预措施。
Cochrane Database Syst Rev. 2017 Jul 28;7(7):CD007759. doi: 10.1002/14651858.CD007759.pub4.
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New, specific ultrasonographic findings for the diagnosis of pulled elbow.用于诊断牵拉肘的新的、特异性超声检查结果。
Clin Exp Emerg Med. 2014 Dec 31;1(2):109-113. doi: 10.15441/ceem.14.009. eCollection 2014 Dec.
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Sonographic finding of a pulled elbow: the "hook sign".小儿桡骨小头半脱位的超声表现：“钩征”
Pediatr Emerg Care. 2014 Dec;30(12):919-21. doi: 10.1097/PEC.0000000000000299.
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J Pediatr Orthop. 2013 Dec;33(8):829-31. doi: 10.1097/BPO.0000000000000087.
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Missed elbow fractures misdiagnosed as radial head subluxations.被误诊为桡骨头半脱位的漏诊肘部骨折。
Acta Orthop Belg. 2010 Jun;76(3):312-5.
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