The manipulation treatment of difficult renaturation radial capitulum subluxation

GuoZhongHua Ningxia institute of traditional Chinese medicine

China's traditional Chinese medicine to

        Radial capitulum subluxation and name guyed cubits, and the baby are very common, more for indirect external forces such as parents suddenly pull upper limbs or slight elbow sprain cause, after injury patients may grip, clothing, activity elbow joint pain. Pathogenesis have different views, most scholars believe that when subjected to pull, radial capitulum since annular ligament glide shift, the annular ligament embedded in brachial radial between joints. According to the history, symptoms, signs and symptoms, diagnosis is not difficult, need not take X ray film, reset general simpler also, according to the textbook introduction of conventional technique namely elbow flexion gently rotating forearm to supination position, can feel a bounce feeling, most all can reset success.

        But clinically often meet some difficult renaturation radial capitulum subluxation of children, because postoperative fails to reset or in the outer court reset failed, the children with fear, the conventional method is still not reset. The author for many years the elbow flexion - stretch cubits extorsion pushing technique, all can will be embedded clamp of the annular ligament back to accept in situ, no case of failure. The idea is to appease good children, doctors in children is the elbow, thumb pressure in radial capitulum position, another hand holding the children wrist, first elbow flexion internal rotation, and forearm extorsion and stretch cubits, and at the same time, the thumb gently pushing radial capitulum, then flex elbow 2 ~ 3 times, children told by hand grasp objects, touch head, movable joint flexible not crying, reset namely success.