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Two- plane point of care ultrasonography helps in the differential diagnosis of pulled elbow

Injury Mar 18, 2020

Varga M, et al. - This prospective diagnostic study was carried out to assess the accuracy of a sonographic testing method in the differential diagnosis of Pulled elbow (PE). A total of 205 children aged 0–5 with clinical suspicion for PE were included in the research. The typical clinical sign of PE: painful, motionless, extended or slightly flexed and pronated arm following a traumatic event under the age of five were the inclusion criteria. They eliminated older children and individuals with pronounced elbow swelling and initially flexed and supinated upper arm position. After history taking and primary physical survey, a two plane point of care sonographic examination was carried out immediately at each individual. It was showed that the two plane sonographic point of care technique is an effective tool for confirming the diagnosis of PE and excluding the presence of fractures. It is an easy, standard and objective method which can be applied as a fast diagnostic test before reduction attempts. .

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