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桡骨小头半脱位复位(Reduction of subluxation of capitulum radii)
桡骨小头半脱位复位(Reduction of subluxation of capitulum radii)
The main manifestations are: Baby subluxation of radial head subluxation because of elbow pain, abnormal crying baby, the babys elbow semi flexion, pronation (is the palm), supination (palms turned down) to cry, it is not willing to elbow, refused to lift and move the affected limb, lateral elbow joint (Medical called radial) sites of tenderness, generally do not see abnormal fluoroscopy. ?
Radial head subluxation can be reset is the parents of their own hands, one hand holding the babys reset, the other hand on the babys lateral elbow (here is the radial head position corresponding to the surface), elbow flexion, and gently before and after the rotation of the forearm can usually be felt, Luo Mao. In general, will be accompanied by the sound of a crying baby piercing, reset the success!
After the reset, the babys elbow and forearm can move freely, 4~6 years old, the babys ring ligament become tough, radial head grow up, it is difficult to prolapse.
Encountered injury, dont be nervous, dont worry, not to blame each other, first look at the baby, if crying very intense or swollen very much, want to go to the hospital, X-ray examination is necessary, if the baby may exclude fractures,? Pain intensity, the symptoms are typical, it can reset.
Manual reduction of subluxation of capitulum radii
When the diagnosis of radial head subluxation is made clear, it is possible to do manual reduction without x ray.
The operator rotates the forearm gently at the same time, rotates it back and forth, and at the same time pushes the bone to the elbow with the other hand thumb.
When feel the feeling of reduction, the radial head subluxation of children at that time can bend elbow to Qing, upper limbs can also be active N, holding, holding high, etc.. At this point should be explained to the families of children in the 4 - 5 years old, the most likely to pull the forearm due to this dislocation, so do not lift the childs wrist, so
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