İki Yaşın Altındaki Bebeklerde Görülen Bakıcı Dirseği Sendromu: Nadir Bir Antite Mohd

İki yaşın altındaki çocuklarda bakıcı dirseği görülmesi nispeten nadirdir. Bu olgu sunumunda, yumuşak doku hasarı olarak yanlış tanı konan iki bakıcı dirseği olgusunu sunduk. Tanılar, olgular Ortopedi Pediatri Ünitesine gönderildikten sonra ilk vaka için 12 saat sonra ve ikinci vaka için ise 48 saat sonra konuldu. Yazarlar, bu sendroma tanı koymanın ve kapalı manipülatif redüksiyon ile dikkatle tedavi etmenin önemini vurgulamışlardır.

Pulled Elbow Syndrome in Infants below 2 Years of Age: A Rare Entity

Pulled elbow in children below 2 years of age is relatively uncommon. Weillustrate 2 cases presenting the characteristic features of pulled elbow butwas misdiagnosed as soft tissue injury. Diagnosis was established 12 hourslater for the first case and 48 hours later for the second case after referral tothe orthopaedic paediatric unit. The authors emphasized the importance ofrecognizing this syndrome and vigilantly treating it with closed manipulativereduction.

PDF

___

Salter RB, Zaltz C. Anatomic investigations of the mechanism of injury and pathologic anatomy of pulled elbow in young children. Clin Orthop 1971 77:134-43.
Matles A, Eliopoulos K. Internal derangement of the elbow in children. Int Surg 1967;48:259-63.
Griffin ME. Subluxation of the head of the radius in children. Pediatrics 1955;15:103-6.
Amir D, Frankl U, Pogrund H. Pulled elbow and hypermobility of joints. Clin Orthop 1990; 257:94-9.
Diab HS, Hamed MMS, Allam Y. Obscure pathology of pulled elbow: dynamic high-resolution ultrasound-assisted classification. J Child Orthop 2010; 4:539–43.
Kosuwon W, Mahaisavariya B, Saengnipanthkul S, Laupattarakasem W, Jirawipoolwon P. Ultrasonography of pulled elbow. J Bone Joint Surg Br 1993; 75:421-2.
Quan L, Marcuse EK. The epidemiology and treatment of radial head subluxation. Am J Dis Child 1985; 139:1194-7.
Macias CG, Bothner J, Wiebe R. A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics 1998; 102:10.
Choung W, Heinrich SD.Acute annular ligament interposition into the radiocapitellar joint in children (nursemaid’s elbow). J Pediatr Orthop 1995;15:454–6.