A Clinical Trial of Pronation Versus Supination Maneuvers for the Reduction of the Pulled Elbow

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Effectiveness of Neurodinamic Techniques on Radial Nerve for the Treatment of Lateral Epicondylalgia

NCT06468514

Lateral Epicondylitis \(Tennis Elbow\)

NOT_YET_RECRUITING NA

Dry Needling, Manipulation and Stretching vs. Manual Therapy, Exercise and Ultrasound for Lateral Epicondylalgia

NCT03167710

Lateral Epicondylitis

COMPLETED NA

Changes in the Ulnar Tissues by Shear-wave Elastography

NCT03509337

Elastography Soft Tissue Muscle Tonus

COMPLETED

Effectiveness of Nerve Glide Exercises on Cubital Tunnel Syndrome

NCT03629470

Cubital Tunnel Syndrome

COMPLETED NA

Prospective Evaluation of Reverse End to Side Anterior Interosseous Nerve to Ulnar Nerve Transfer for Severe Compressive Ulnar Neuropathy at the Elbow

NCT02281656

Severe Compressive Ulnar Nerve Neuropathy (McGowan Grade III)

COMPLETED PHASE3

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

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.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Nursemaid Elbow Pulled Elbow

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Pronation group

In this group, participants will receive the pronation procedure. The technique is described below

Group Type EXPERIMENTAL

Pronation

Intervention Type OTHER

In this technique the arm is flexed 90 degrees and a gentle pronation is applied to the arm; then the arm is further flexed to 45 degrees until the clinician feels a "click" in the elbow meaning the re-accommodation of the radial head has been accomplished.

Supination group

Participants in this group will be performed the supination technique. Description below.

Group Type ACTIVE_COMPARATOR

Supination

Intervention Type OTHER

The affected arm is in a 90 degrees flexion. The clinician will hold the arm by the elbow and then makes a gentle supination of the affected arm and flexion of the elbow until feeling the "click" and the child is able to move the arm without pain.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Pronation

In this technique the arm is flexed 90 degrees and a gentle pronation is applied to the arm; then the arm is further flexed to 45 degrees until the clinician feels a "click" in the elbow meaning the re-accommodation of the radial head has been accomplished.

Intervention Type OTHER

Supination

The affected arm is in a 90 degrees flexion. The clinician will hold the arm by the elbow and then makes a gentle supination of the affected arm and flexion of the elbow until feeling the "click" and the child is able to move the arm without pain.

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Hyper-pronation technique Supination technique

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Pulled elbow suspected in any child presenting one of the following:

1. History of an adult or bigger person that had pulled the child's elbow non-intentionally
2. Presence of intense pain at the arrival at the emergency department and unwilling to move the arm.

Exclusion Criteria

* Any suspect of injury that could be intentional (child abuse)
* Any suspicion child of suffering a possible fracture (the mechanism of the injury was not from pulling the child's arm, the arm presents obvious deformity, ecchymoses, edema, etc.)
* The mechanism was from multiple trauma
* Any chronic disease affecting the adequate bone mineralization (vitamin D deficiency, osteogenesis, etc.)

Minimum Eligible Age

6 Months

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No