European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Dislocation of the patella around the vertical axis is rare. Previous reports suggest reduction requires general anaesthesia and occasionally open reduction is necessary. We describe a case of dislocation of the patella around its vertical axis with impaction in the intercondylar notch of the femur following minor trauma. Successful reduction was achieved without the need for general anaesthesia.
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The purpose of this study was to establish the usefulness of capillary refill time when measured during the initial assessment of children. ⋯ The prolongation of capillary refill time is a poor predictor of the need for intravenous fluid bolus or hospital admission.