Pulled/nursemaid’s elbow
- Author:
Mohd Miswan MF
;
Othman MS
;
Muhamad Effendi F
;
Ibrahim MI
;
Rozali KN
- Publication Type:Journal Article
- Keywords:
Nursemaid’s elbow, radial head subluxation, extended arm, pronated forearm
- From:Malaysian Family Physician
2017;12(1):26-28
- CountryMalaysia
- Language:English
-
Abstract:
Nursemaid’s elbow is a radial head subluxation caused by axial traction on the extended arm while
the forearm is pronated, allowing for slippage of the radial head. A 2-year-old boy presented with
pain, swelling and reduced range of movement of the right elbow for 4 days. The mother noted that
the child was moving the right upper limb less often and there was tenderness over the right elbow.
X-ray of the right elbow showed subluxation of the elbow joint with no obvious fracture. A trial of
conservative management was decided upon and the patient was placed on a right elbow backslab
with the right forearm in a supine position. On follow-up, there was no swelling, tenderness or
neurological deficit noted. A repeate x-ray revealed normal findings.
- Full text:P020170512317786180313.pdf