Parental involvement in the manual reduction of pulled elbow in children

OBJECTIVE: To investigate the effect of parental involvement in the manual reduction of pulled elbow in children. METHODS: We conducted a prospective case-control study from January to December 2018. The patients were under 6 years old with suspected radial head subluxation and were randomly assigned to two groups (an intervention group with a physician's and a parent's finger placed on the patient's radial head and a control group with the physician's finger only placed on the patient's radial head) according to the method of reduction. The results of a questionnaire given to the parent and physician were analyzed. RESULTS: A total of 150 patients were included in the study: 75 in the intervention group and 75 in the control group. There were no significant differences between the groups. The average number of attempts at manual reduction was 1.29 ± 0.73 in the intervention group and 1.31 ± 0.72 in the control group (P = 0.91) and the success rate of manual reduction was 96.0 and 94.7% (P = 0.70), respectively. The ease of conducting the procedure by the doctors did not show a significant difference between the two groups. However, the parents' understanding and satisfaction was significantly higher in the intervention group. CONCLUSION: Parental involvement did not affect the procedure of physician, but it improved the understanding and satisfaction of the parents.