Joint Pulled Elbow

A number of equivalent lesions have also been described. Commonest of these is the Type 1 variant Where the radial head is dislocated anteriorly but the ulna has plastic deformation rather than a fracture. Other variants include dislocations with associated radial neck fractures, olecranon fractures and dislocations of the ulnar-humeral joint. In some respects, the pulled elbow , commonly seen in infants, can also be considered a Bado I equivalent. The injury occurs when the elbow has traction applied, usually resulting in hyperextension and pronation. The radial head subluxes through the annular ligament but does not truly dislocate and radiographs are either normal or will show an effusion with elevation of the fat pads. 

Kosuwon W, Mahaisavariya B, Saengnipanthkul S et al (1993) Ultrasonography of pulled elbow. J Bone Joint Surg Br 75 421-422... 

Ultrasonography of pulled elbow. J Bone Joint Surg Br 75 421-422... 

Weerachai K, Banchong M, Sukit S et al (1993) Ultrasonography of pulled elbow. J Bone Joint Surg Br 75 421-422 Weiner D (1996) Pathogenesis of slipped capital femoral epiphysis current concepts. J Pediatr Orthop B 5 67-73 Wilson DJ (1984) Arthrosonography of the painful hip. Clin Radiol 35 17-19... 

The elbow joint is a comparatively weak part of the body and a forceful blow can dislocate it. Grasp your opponent s wrist or forearm and pull it behind him, stiffening his whole arm (fig. 29). As... 

PIPE LEAK. In some cases, the leak m ht not be in the showerhead at all, and you ll need to explore farther up the pipes. Is there a visible crack in the pipe Is the leak coming from inside the wall If so, you ll have to go in and fix it. First check to see if the shower s supply pipe is accessible firom the back, perhaps from a closet. If not, you ll have to cut a hole in the wall. When cutting around pipes and water, consider using a hand-powered keyhole saw. The leak may be upstream, downstream, or in the middle of the elbow joint that connects the pipe running vertically up the wall to the pipe that sticks out into the shower. Once you find the leak, you ll know what section of pipe needs to be replaced. If the leak is downstream of the elbow joint, use a propane torch to heat the joint until the solder loosens and then use two pairs of pliers to pull apart the joint. Cut new copper pipe to match the removed sections and sweat the joints as described in How to Fix a Burst Pipe, page 325. 

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