Radial head subluxation (Nursemaid elbow)

1,257 views

Summary of Radial head subluxation (Nursemaid elbow)

Nursemaid's elbow is a dislocation of the elbow joint caused by a sudden pull on the extended pronated forearm, such as by an adult tugging on an uncooperative child or by swinging the child by the arms during play. The technical term for the injury is radial head subluxation.

Assessments
Radial head subluxation (Nursemaid elbow)

Flashcards

0 / 9 complete

Questions

1 / 4 complete

High Yield Notes

5 pages

$Chapter 121 Upper Limb Injury ▪ Posterior dislocation: humeral head is in place in AP view ▪ Fractured bones MRI ▪ Damaged ligaments (contrast enhancement for better visualisation) CT angiogram ▪ Arterial damage TREATMENT ▪ Reduction ▫ Perform as soon as possible for easier reduction, less chance of complications ▫ e.g. Hill–Sachs lesion/compression fractures on humeral head ▪ Immobilisation, rest ▫ Age < 30 → three weeks ▫ Age > 30 → 7–10 days Figure 121.2 An X-ray image of the left shoulder demonstrating a Hill–Sachs lesion. A Hill–Sachs lesion is a posterolateral compression fracture that occurs as a result of recurrent anterior dislocations of the shoulder. NURSEMAID'S ELBOW osms.it/nursemaids-elbow PATHOLOGY & CAUSES ▪ Dislocation of radial head in elbow joint ▫ Pulled elbow/radial head subluxation CAUSES ▪ Pulling extended arm makes annular ligament slip above radial head ▪ Lifting/swinging child ▪ Common in children < six years old SIGNS & SYMPTOMS DIAGNOSIS DIAGNOSTIC IMAGING X-ray ▪ When fracture suspected TREATMENT OTHER INTERVENTIONS ▪ Reduction ▫ Supination, elbow ﬂexion ▫ Hyperpronation (less painful) ▪ Child refuses to bend/use affected arm ▫ Fear of pain ▪ Holds affected arm in prone position, close to body ▪ Inability to supinate OSMOSIS.ORG 717$

Flashcards

Radial head subluxation (Nursemaid elbow)

9 flashcards

Questions

USMLE® Step 1 style questions USMLE

1 questions

USMLE® Step 2 style questions USMLE

4 questions

Preview

A 3-year-old boy is brought to the clinic because of left elbow pain. Father of the patient says that after picking up the boy from day care, he noticed his son was not moving his elbow and complained of pain. Patient is holding his left elbow flexed and pronated. Physical examination shows tenderness over the lateral aspect of the left elbow joint on palpation. Which of the following is the most likely diagnosis?

Memory Anchors and Partner Content