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Background <p>This study aimed to determine whether the choice of reduction maneuver in patients presenting to the emergency department with nursemaid’s elbow influences the likelihood of recurrent dislocation. Additionally, the study sought to describe the epidemiological characteristics of these cases.</p> Methods <p>This retrospective study included 1359 patients diagnosed with nursemaid’s elbow who presented to the Emergency Department of Malatya Training and Research Hospital from January 2015 to June 2025. Data on demographics, side affected, radiographic evaluation, reduction maneuver, and recurrence were analyzed. The chi-square test was used for statistical analysis, with p &lt; 0.05 considered significant.</p> Results <p>The median age was 2&#xa0;years, with 61.2% female. Most cases (88.1%) were in the 0–3-year age group. Left-sided involvement accounted for 63.0%, right-sided involvement 37.0%. Hyperpronation was used in 68.4%, supination–flexion in 31.6%. Recurrence rate was 4.8%, higher with right elbows and supination–flexion (p &lt; 0.05).</p> Conclusion <p>Nursemaid’s elbow was more common in children under three, particularly girls, and affected the left arm. Recurrence was lower after hyperpronation than after supination–flexion.</p> Level of Evidence <p>Retrospective analysis study.</p>

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Do Reduction Maneuvers Affect Recurrence in Pediatric Radial Head Subluxation? A Ten-Year Retrospective Analysis

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月21日

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  • Mehmet Boz,
  • Gülseda Boz,
  • Tarik Altunkılıç,
  • Bünyamin Arı,
  • İsmail Güzel,
  • Ümit Yasin Barbak

摘要

Background

This study aimed to determine whether the choice of reduction maneuver in patients presenting to the emergency department with nursemaid’s elbow influences the likelihood of recurrent dislocation. Additionally, the study sought to describe the epidemiological characteristics of these cases.

Methods

This retrospective study included 1359 patients diagnosed with nursemaid’s elbow who presented to the Emergency Department of Malatya Training and Research Hospital from January 2015 to June 2025. Data on demographics, side affected, radiographic evaluation, reduction maneuver, and recurrence were analyzed. The chi-square test was used for statistical analysis, with p < 0.05 considered significant.

Results

The median age was 2 years, with 61.2% female. Most cases (88.1%) were in the 0–3-year age group. Left-sided involvement accounted for 63.0%, right-sided involvement 37.0%. Hyperpronation was used in 68.4%, supination–flexion in 31.6%. Recurrence rate was 4.8%, higher with right elbows and supination–flexion (p < 0.05).

Conclusion

Nursemaid’s elbow was more common in children under three, particularly girls, and affected the left arm. Recurrence was lower after hyperpronation than after supination–flexion.

Level of Evidence

Retrospective analysis study.