Which is the most effective and least harmful method of reducing pulled (nursemaid’s) elbow?
BEEM Bottom Line
Why is this study important?
Subluxation of the annular ligament commonly referred to as pulled or nursemaid’s elbow is a common and painful toddler injury. It often results when a caregiver pulls on the toddler’s outstretched arm or swings the arm quickly, although falls are the second most common mechanism. The toddler experiences sudden pain and loss of function in the upper limb. Reduction is usually accomplished easily with either of 2 manoeuvres, forearm pronation (P) or supination and flexion (SF). Forearm SF is commonly recommended yet there is minimal evidence comparing the 2 methods’ effectiveness, harmfulness, or other clinical outcomes.
Which, if any, threats to validity are most likely to have an impact on the results and how?
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