This document discusses subluxation of the elbow in children. It begins by describing the typical presentation of sudden pain and refusal to use the affected arm after pulling or trauma, with the arm held in pronation. Radiographs may be normal but should include the entire arm. It notes that these injuries are likely more common than thought, usually occurring in children ages 2-3 years old. The second section discusses anatomy but is repeated text from another section. The document provides no other summarized information.

1. Pronação
Dolorosa
Aluno: Matheus de Paula Dias
Preceptora: Fulvia Bakir

2. 01 Introdução
- Normalmente na subluxação de cotovelo aparece com História de repentina tração no
membro superior (Puxar o braço), seguida de imediato aparecimento de dor, é frequente.
- O paciente recusa usar o membro afetado, que é mantido ao longo do corpo em pronação.
Qualquer tentativa de mobilizar o membro aumenta a dor e o estresse da criança.
- O exame radiológico para a lesão é negativo, mas deve ser feito abrangendo todo o
membro superior já que fratura de clavícula ou fratura subperiosteal do antebraço podem se
apresentar clinicamente da mesma forma.

3. 02 Incidência
- Essa situação certamente é mais frequente do que se pensa, pois muitos casos são
resolvidos fora do âmbito da ortopedia ou podem reduzir-se de forma espontânea.
- Costumam incidir por volta dos 2 ou 3 anos de vida, sendo muito raras após os 5 anos,
quando a corda oblíqua adquire características biomecânicas que impossibilitam a saída da
cabeça radial da sua posição original. A maioria dos pacientes é do sexo feminino, sendo o
lado esquerdo o mais acometido

4. 03 Anatomia
- Essa situação certamente é mais frequente do que se pensa, pois muitos casos são
resolvidos fora do âmbito da ortopedia ou podem reduzir-se de forma espontânea.
- Costumam incidir por volta dos 2 ou 3 anos de vida, sendo muito raras após os 5 anos,
quando a corda oblíqua adquire características biomecânicas que impossibilitam a saída da
cabeça radial da sua posição original. A maioria dos pacientes é do sexo feminino, sendo o
lado esquerdo o mais acometido

5. 04 Tratamento
- Essa situação certamente é mais frequente do que se pensa, pois muitos casos são
resolvidos fora do âmbito da ortopedia ou podem reduzir-se de forma espontânea.
- Costumam incidir por volta dos 2 ou 3 anos de vida, sendo muito raras após os 5 anos,
quando a corda oblíqua adquire características biomecânicas que impossibilitam a saída da
cabeça radial da sua posição original. A maioria dos pacientes é do sexo feminino, sendo o
lado esquerdo o mais acometido

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Neptune is the
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Mars
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Mercury
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01 02 03 04

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Year Area Accomplishment
2018 Neptune
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2019 Mercury
Mercury is the closest planet to the
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2020 Venus
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Patient
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Jupiter is the
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Mars
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very cold place
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Planet Mercury is the
smallest one
Mercury
Venus is the second
planet from the Sun
Venus
Planet Mars is actually a
very cold place
Mars
Jupiter is the biggest
planet of them all
Jupiter
Planet Saturn is a gas
giant and has rings
Saturn
Neptune is the farthest
planet from the Sun
Neptune
01 02 03
04 05 06

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Tanya Jones
James Smith
“Neptune is the fourth-largest planet by
diameter in the Solar System”
“Despite being red, Mars is actually a cold
place. Its full of iron oxide dust”

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2017
Neptune
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farthest planet
from the Sun
2018
Jupiter
Jupiter is the
biggest planet in
the Solar System
2019
Mars
Despite being red,
planet Mars is a
very cold place
2020
Mercury
Mercury is the
closest planet to
the Sun

26. Where are we?
Venus has a
beautiful name
Mercury is the
smallest planet
Venus
Mercury

27. Awesome
words

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Richard Smith Linda Johnson
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