지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: If radial head subluxation, otherwise known as pulled elbow, occurs, closed reduction can be used in simultaneous diagnosis and treatment of the child. As the guardian seldom understands the maneuver without explanation, we revised a method to involve the caregiver in the treatment. Methods: This was a prospective controlled study. From January, 2014 to December, 2014, children suspected of radial head subluxation, under the age of 6, were enrolled. Patients were randomly assigned to two groups. One group was treated conventionally and the other group was treated while the parent’s finger was on the patient’s lateral epicondyle. A total of three attempts were made using the hyperpronation method and the supination-flexion method. The physician then recorded whether the treatment was successful, the number of attempts, easiness of the reduction, and guardian’s degree of understanding and satisfaction. Results: A total of 116 patients were enrolled. The number of attempts was 1.27 and 1.35 times in the experimental group and the control group, respectively. The success rate was 96.6% in the experimental group and 94.7% in the control group. There was no statistically significant difference within the two groups. The physicians found that the revised method was as easy as the conventional method and the caregiver’s degree of understanding was higher in the experimental group. Conclusion: As the revised method increases the degree of guardians’ understanding and does not increase the difficulty of the procedure, we recommend using the revised method in treatment of radial head subluxation.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Macias CG / 1998 / A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations / Pediatrics 102:e10
Illingworth CM / 1975 / Pulled elbow : a study of 100 patients / Br Med J 2:672~674
Salter RB / 1971 / Anatomic investigations of the mechanism of injury and pathologic anatomy of"pulled elbow"in young children / Clin Orthop Relat Res 77:134~143
Choung W / 1995 / Acute annular ligament interposition into the radiocapitellar joint in children(nursemaid’s elbow) / J Pediatr Orthop 15:454~456
Matles AL / 1967 / Internal derangement of the elbow in children / Int Surg 48:259~263
Illingworth CM / 1975 / Pulled elbow : a study of 100 patients / Br Med J 2:672~674
Salter RB / 1971 / Anatomic investigations of the mechanism of injury and pathologic anatomy of"pulled elbow"in young children / Clin Orthop Relat Res 77:134~143
Choung W / 1995 / Acute annular ligament interposition into the radiocapitellar joint in children(nursemaid’s elbow) / J Pediatr Orthop 15:454~456
Matles AL / 1967 / Internal derangement of the elbow in children / Int Surg 48:259~263
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