Manual reduction treatment radial head subluxation in 32 cases.doc

 PAGE \* MERGEFORMAT 6 Manual reduction treatment radial head subluxation in 32 cases [Keywords:] radial head subluxation, manual reduction Radial head subluxation is a common injury in children, one of many names, such as pain, paralysis, contented elbow injury, nanny elbow, elbow so angry, but the term most commonly used to stretch the elbow. Fournier first described in 1671: more elbow is straight from the children, the forearm pronated due to the sudden stretch. the author from October 2006 ~ October 2009, the use of manual reduction, treatment of radial head subluxation in 32 cases, results were satisfactory, are as follows. 1 Materials and Methods 1.1 General Information The group of 32 patients, 20 males and 12 females, aged 5 months to 7 years, 5 months to 1 years and 6 patients, 2 to 5 years in 24 cases, 5 years old in 2 cases, left 21 cases the right side in 11 cases. cause of his injuries: stretch injury in 18 cases, falls in 9 cases, crushed 2 cases, walk away injury in 2 cases, the other 1 case. injury to the hospital to the time of 30 min ~ 2d, 1h of 25 cases in the treatment. 1.2 Diagnosis (A disease mostly caused by indirect violence, (2 children injured limb elevation do not want to, not the forearm supination, and (3 elbow in extension, forearm pronation drooping position, (4 elbow no swelling, deformity However, there was tenderness at the radial head, (5X-ray examination the majority of no abnormal [1]. 1.3 Treatment Parents hold children to sit on the lap facing out, patients who single-handedly hold the wrist in children with one hand hold the elbow that was half-elbow limb position, the thumb placed on the outside of the radial head pressing inward, while a hand pronation and supination or a small rotation and elbow flexion, the surgeon can feel the thumb with a crisp sound, then pain, stop crying children, children with limbs and is able to extract elevation, indicating a successful reset . reset can sling susp