Do Reduction Maneuvers Affect Recurrence in Pediatric Radial Head Subluxation? A Ten-Year Retrospective Analysis

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dc.contributor.authorBoz, Mehmet
dc.contributor.authorBoz, Gulseda
dc.contributor.authorAltunkilic, Tarik
dc.contributor.authorAri, Bunyamin
dc.contributor.authorGuzel, Ismail
dc.contributor.authorBarbak, Umit Yasin
dc.date.accessioned2026-06-19T06:40:54Z
dc.date.available2026-06-19T06:40:54Z
dc.date.issued2026
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBackground This study aimed to determine whether the choice of reduction maneuver in patients presenting to the emergency department with nursemaid's elbow influences the likelihood of recurrent dislocation. Additionally, the study sought to describe the epidemiological characteristics of these cases. Methods This retrospective study included 1359 patients diagnosed with nursemaid's elbow who presented to the Emergency Department of Malatya Training and Research Hospital from January 2015 to June 2025. Data on demographics, side affected, radiographic evaluation, reduction maneuver, and recurrence were analyzed. The chi-square test was used for statistical analysis, with p < 0.05 considered significant. Results The median age was 2 years, with 61.2% female. Most cases (88.1%) were in the 0-3-year age group. Left-sided involvement accounted for 63.0%, right-sided involvement 37.0%. Hyperpronation was used in 68.4%, supination-flexion in 31.6%. Recurrence rate was 4.8%, higher with right elbows and supination-flexion (p < 0.05). Conclusion Nursemaid's elbow was more common in children under three, particularly girls, and affected the left arm. Recurrence was lower after hyperpronation than after supination-flexion. Level of Evidence Retrospective analysis study.
dc.identifier.doi10.1007/s43465-026-01785-3
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.orcid0009-0006-0714-6522
dc.identifier.orcid0000-0001-9720-1869
dc.identifier.orcid0000-0002-1640-4275
dc.identifier.scopus2-s2.0-105036524163
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.1007/s43465-026-01785-3
dc.identifier.urihttps://hdl.handle.net/20.500.12899/5967
dc.identifier.wosWOS:001745311400001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofIndian Journal of Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260612
dc.subjectNursemaid'S Elbow
dc.subjectRadial Head Dislocation
dc.subjectReduction Maneuver
dc.subjectPediatric Trauma
dc.titleDo Reduction Maneuvers Affect Recurrence in Pediatric Radial Head Subluxation? A Ten-Year Retrospective Analysis
dc.typeArticle

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