MCQ Orthopedics Answer 24
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Subluxation of the radial head (nursemaid’s elbow) is a common childhood orthopedic problem. There is conflicting information in various textbooks on the proper technique to reduce the subluxed radial head. However, 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. (ABFM 2002)
Tags: MCQ, Orthopedics, nursemaid’s elbow
Category: Orthopedics MCQs
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