MCQ Orthopedics Answer 18
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Subluxation of the radial head (“nursemaid’s elbow”) is a common childhood orthopedic problem seen by primary care physicians in their office practices. There is conflicting information in various textbooks on the proper technique to reduce the subluxed radial head. A study comparing hyperpronation to supination/flexion found that hyperpronation had a higher success rate. If a fracture is diagnosed, then a sling would be helpful. Neither a wrist splint nor a long arm cast is helpful in this situation.
Ref: Macias CG, Bothner J, Wiebe R: A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics 1998; 102(1):e10
Tags: MCQ, Orthopedics, nursemaid’s elbow
Category: Orthopedics MCQs
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