Radius Head Dislocation, Epidemiology and Effective Factors in Treatment and Relapse

Document Type : Original Article (s)

Authors

1 Emergency Medicine Specialist, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Emergency Medicine Research Center AND Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: We aimed to provide an epidemiological description of radius head dislocation, effective factors in treatment and relapse.Methods: This cross-sectional prospective study was done using census method on all patients with 7 years of age and younger with radius head dislocation, who were admitted to the emergency department of Kashani hospital, Isfahan City, Iran, between January 1, 2014, and December 31, 2015. Required data were gathered using a checklist consisting of questions regarding demographic data (age and sex), weight, trauma mechanism, affected arm, success rate of reduction maneuver, and the time of using the affected arm after reduction.Findings: During a 24-month period, 112 children with a mean age of 30.98 ± 13.18 months entered the study. 59 patients were boys (53%), and the left arm was affected in 67 cases (60%). Most of the patients with recurrence were over the 75th percentile for weight, and 18.75% of them had recurrence. The success rate of initial reduction maneuver was significantly less in patients with recurrence (P < 0.010). A delay of more than 24 hours was significantly associated with failure of initial reduction maneuver. Children with recurrence were significantly younger than those without recurrence.Conclusion: There was a significant relationship between overweight and recurrence of radius head dislocation. Recurrence had effect on the success rate of initial reduction maneuver. A delay of more than 24 hours was significantly associated with failure of initial reduction maneuver. Age had a relative risk for one or more recurrences.

Keywords

References

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Journal of Isfahan Medical School
Volume 35, Issue 459 - Serial Number 459
November and December 2018
Pages 1792-1798

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History

  • Receive Date: 22 November 2017
  • Revise Date:
  • Accept Date: 06 April 2022

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