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Nursemaid's elbow: its diagnostic clues and preferred means of reduction.

Krul, M., Wouden, J.C. van der, Schellevis, F.G., Suijlekom-Smit, L.W.A. van, Koes, B.W. Nursemaid's elbow: its diagnostic clues and preferred means of reduction. Journal of Family Practice: 2010, 59(1), p. E5-E7.
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Nursemaid’s elbow—sudden subluxation of the radial head—usually results from forcible traction to a child’s pronated hand or wrist, with the elbow extended. Ironically, this can occur when a parent tries to maneuver a child away from perceived danger, and the child experiences pain and acute loss of function of the affected limb. Nursemaid’s elbow reportedly occurs frequently among children,and thus we would expect to encounter it often in primary care. However, this condition receives little attention in medical training or in the literature, and many physicians do not recognize it. In this article we describe the epidemiology, underlying pathology, diagnosis, and treatment of nursemaid’s elbow, based on a systematic review of the current literature. (aut.ref.)
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