Nursemaid's elbow occurs when the radius (one of the bones in the forearm) slips out of place from where it normally attaches to the elbow joint. It is a common condition in children younger than 4 years of age. It is also called pulled elbow, slipped elbow, or toddler elbow. The medical term for nursemaid's elbow is radial head subluxation.
A sudden pulling or traction on the hand or forearm causes nursemaid's elbow. This causes the radius to slip out of the ligament holding it into the elbow. It can occur when an infant rolls himself or herself over, from a fall, or from pulling or swinging a young child by the hand.
The following are the most common symptoms of nursemaid's elbow. However, each child may experience symptoms differently. Symptoms may include:
The symptoms of nursemaid's elbow may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.
The diagnosis of nursemaid's elbow is made with a physical examination by your child's physician.
It is important to call your child's physician immediately, or promptly take your child to the emergency department, if you suspect an injury.
Specific treatment for nursemaid's elbow will be determined by your child's physician based on the following:
Treatment may include:
The injury can usually be reduced (fixed) by your child's physician with ease and often without the need for X-rays (unless other type of injury or fracture is suspected).
Once the elbow has sustained this type of injury, it is more likely to recur. If this happens again, call your child's physician or return to the emergency department for further evaluation and treatment. Most children outgrow the tendency for nursemaid's elbow by the age of 5.
Consult your child's physician for more information.
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