OBJECTIVES: Acute @entity130 are common in the acute care setting. A previous study observed that limited active range of motion (ROM) was highly sensitive for radiographic injuries after @entity130 . Our aim was to validate these findings in @entity1 >= 5 years old with an acute (<24 hours) nonpenetrating @entity130 . METHODS: This prospective study included a convenience sample of @entity1 undergoing plain radiographs of an injured elbow in 3 emergency departments. Before imaging, treating clinicians completed a standardized data collection sheet including mechanism of injury and 4-way ROM findings (full extension, flexion to 90  , full pronation and supination). Radiographic interpretation by a staff radiologist was used to ascertain the presence of @entity174 or @entity1143 . RESULTS: The median age of the 251 @entity1 was 24 years. Ninety-two @entity1 (36.7%) had active 4-way ROM, and 159 @entity1 (63.3%) demonstrated limited ROM. Negative radiographs were present in 152 @entity1 (60.6%), whereas 99 @entity1 (39.4%) had abnormal radiographs: 75 with explicit @entity174 and 24 with only joint effusions. The 4-way ROM elbow test had a sensitivity of 0.99 (95% confidence interval [CI], 0.94-1.00), specificity of 0.60 (95% CI, 0.52-0.68), positive predictive value of 0.62 (95% CI, 0.54-0.69), and negative predictive value of 0.99 (95% CI, 0.94-1.00). CONCLUSIONS: Active 4-way ROM test is 99% sensitive for all radiographic injures following blunt @entity130 and 100% sensitive for injuries requiring surgical intervention. Caution should be used in relying on this test in the pediatric population until it is validated in a larger cohort.

Performance of the 4-way range of motion test for radiographic injuries after blunt XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['joint effusion'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity130 :: ('MESH:D014947', 'Disease') :: ['blunt trauma', 'elbow injury', 'elbow injuries', 'elbow trauma']
@entity130 :: (MESH:D014947,Disease) :: ['elbow trauma']
