Çekilmiş Dirsek Sendromunda Radyolojik Analizin Gerekliliğinin İncelenmesi

Abstract

Objective: Primary objective was to reveal the necessity of radiological analysis by investigating the differences in radiological findings in the pulled and intact sides of pulled elbow patients. The secondary goal was to examine pulled elbow patients' demographic and radiographic distributions to reveal recurrence-related risk factors. Materials and Methods: In this retrospective prognostic study, 80 patients, treated for pulled elbow between August 2019 and January 2022 were examined. The patient's gender, age, side, and injury mechanism information were evaluated. The radio-capitellar line, the radial epiphyseal angle, and the humero-ulnar angle were evaluated on both injured and intact side X-rays. Results: No missed fractures were detected, and no significant difference was found between injured and intact sides in the radiological analysis (p>0.05). Recurrent dislocations were detected in 14 patients (17.5%). No significant relationship was found between recurrent pulled elbow and gender, side, mechanism of injury, and radiological findings (p>0.05). Conclusion: Although radiographic examination of the pulled elbow is not diagnostically and prognostically necessary, radiographs of the elbow can be taken and examined regarding fracture exclusion and medicolegal concerns. There is no obvious risk factor predicting recurrent dislocation.