• Wonjin Cho, Seung Chul Lee, Jeong Hun Lee, Jun Seok Seo, Han Ho Do, Yong Won Kim, and Sanghun Lee.
• Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Republic of Korea.
• Eur J Emerg Med. 2020 Jun 1; 27 (3): 193-196.

ObjectiveTo investigate the effect of parental involvement in the manual reduction of pulled elbow in children.MethodsWe 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.ResultsA 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.ConclusionParental involvement did not affect the procedure of physician, but it improved the understanding and satisfaction of the parents.

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