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2013년 8월 20일 화요일

Elbow subluxation

(http://emedicine.medscape.com/article/104158-overview#a01)

Elbow subluxation
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Hx:
-Child usually between 2 to 6 years
-pulled arm

Clinical picture:
-The affected arm is held semi flexed, adducted, and pronated.



Mx:

Swelling & tenderness -> rule out fracture with X-ray
(No significant edema or effusion should be found on clinical examination.
If focal swelling or other areas of tenderness are present, radiographs should be performed)


1. supination technique.



2. hyperpronation technique