Subluxation of the head of the radius; nursemaid's elbow.

نویسندگان

  • D P BOYETTE
  • A H LONDON
چکیده

Figure 1. Anatomical lesion of nursemaid’s elbow injury. The common names for the condition are descriptive the mechanisms types of damage (e.g., baby-sitter’s, nursemaid’s elbow, supermarket elbow, pulled elbow syndrome, temper tantrum elbow). A history is often enough to reach a diagnosis (child pulling away while being firmly held by the hand, or child being rolled or lifted by one arm) [1,2]. On child’s examination, the arm is held flaccidly with the elbow extended and wrist pronated, and the child resists any attempted supination of the arm [1]. Pain is usually radiated to the forearm, wrist and elbow, but there is little swelling or deformity. Radiographs usually unnecessary, but it shows a distal shift of the radius and are useful to exclude fracture or bone injury. After the radiograph had been taken (because the anteroposterior imaging view need for elbow supinated) many toddlers showed relief of symptoms [1,2].

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Epidemiology of Nursemaid’s Elbow

INTRODUCTION To provide an epidemiological description of radial head subluxation, also known as nursemaid's elbow, from a database of emergency department visits. METHODS We conducted a retrospective medical record review of patients 6 years of age and younger, who presented to the ED between January 1, 2005, and December 31, 2012, and were diagnosed with nursemaid's elbow. Inclusion criteri...

متن کامل

Persistent Medial Subluxation of the Ulna with Radiotrochlear Articulation

Two patients-one with a terrible triad fracture dislocation and one with an anterior olecranon fracture dislocation—weretreated for maltracking of the elbow (medial subluxation). The radial head articulated with the lateral trochlea while theulnar trochlear notch was perched over the medial trochlea. The late revision surgery could not correct the subluxationbecause the joints were accustomed t...

متن کامل

New, specific ultrasonographic findings for the diagnosis of pulled elbow

OBJECTIVE Among infants and preschool children with complaint of upper extremity immobility, pulled elbow, also known as nursemaid's elbow or radial head subluxation is the most common cause presenting to pediatric emergency departments. However, proper tools to diagnose pulled elbow remain limited. We conducted a study to determine the feasibility of ultrasonography in diagnosing pulled elbow....

متن کامل

The role of sonography in detecting radial head subluxation in a child.

Injuries around the elbow joint in children can be difficult to diagnose on the basis of findings on physical examination and radiographs. We present the case of a 4-year-old girl with a probable subluxation of the radial head, based on the findings on physical examination and radiographs. Radiography raised the possibility of a radial head subluxation. Sonography demonstrated displacement of t...

متن کامل

Effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis.

BACKGROUND/AIM Nursemaid's elbow usually occurs in young children when longitudinal traction is placed on the arm. Several manipulative maneuvers have been described, although, the most effective treatment technique is yet unclear. The aim of this systematic review and meta-analysis was to compare the two most commonly performed maneuvers (supination-flexion and hyperpronation) in the treatment...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of pediatrics

دوره 32 3  شماره 

صفحات  -

تاریخ انتشار 1948