Nursemaid Elbow Clinical Trial
Official title:
A Randomized Clinical Trial of Pronation Versus Supination Maneuvers for the Reduction of the Pulled Elbow
Nursemaid elbow or pulled elbow is a condition commonly seen in the emergency department. It is the sudden pull of the radial head (a bone in the elbow) in toddlers. Usually occur when a parent tries to pull the child by the arm and a "clic" or "clunk" is felt with immediate pain and unwilling to move the arm. It is not a dangerous condition although it is distressing for kids and their parents/caretakers.
The usual therapy consists of one of two maneuvers: supination maneuver or pronation
maneuver. They both are safe to perform but none of them have been statistically superior
over the other. More studies are needed to confirm or discard the tendency of the studies to
favor the pronation maneuver.
The investigators intend to perform a randomized trial evaluating which of these techniques
is better than the other in terms of returning the mobility of the affected arm and
decreasing pain.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment