RESULTS:: Before the manipulation in all the cases, both the supinator muscle originating from the annular ligament and the annular ligament itself were entrapped within the radiohumeral joint, and a hypoechoic image of J-shape (J-sign) was observed. After the manipulation, the hypoechoic image of the J-shape disappeared and normal annular ligament image was observed.
CONCLUSIONS:: Accurate diagnosis of the pulled elbow can be done by ultrasonography through the confirmation of this specific J-sign.
LEVEL OF EVIDENCE:: Level IV-diagnostic studies.
PMID: 23995147 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23995147?dopt=Abstract