• Assaf Kadar, Noga Yaniv, Yaniv Warschawski, Yoav Rosenthal, Shai Shemesh, Daniel Weigl, and Tal Frenkel Rutenberg.
• From the Orthopedic Department, Rabin Medical Center, Beilinson Hospital, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv.
• Pediatr Emerg Care. 2022 Dec 1; 38 (12): 659664659-664.

MethodsElectronic medical records of the largest health provider in Israel, which provides health services to more than 50% of the population, were reviewed for pulled elbow cases between 2005 and 2020. Patients aged 4.5 months to 7 years were included. Demographic information, the discipline of the treating physician, and acquisition of elbow radiographs were gathered.ResultsA total of 4357 patients, 62.8% girls, were included. The average body mass index was 16.1 (SD, 1.2). Most patients were from communities in the upper half of the socioeconomic status clusters 6 to 10 (64.63%). Most patients were attended by a pediatrician (51.5%), followed by an orthopedic surgeon (19.9%). Radiographs were acquired for 570 children (13.1%). Most radiographs (36.5%) were requested by orthopedic surgeons and for children in the boundary age groups. The patient's socioeconomic status was associated with access to physicians of different subspecialties, and lower income families had a higher tendency to be treated by nonspecialized physician ( P < 0.001).ConclusionsOrthopedic surgeons use elbow radiographs much more than pediatricians; effort should aim at reducing the imaging rate for this population.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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