Radial head subluxation (Nursemaid elbow)
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Musculoskeletal system
Pathology
Pediatric musculoskeletal conditions
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Rotator cuff tear
Dislocated shoulder
Radial head subluxation (Nursemaid elbow)
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AssessmentsRadial head subluxation (Nursemaid elbow)
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Radial head subluxation (Nursemaid elbow)
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Radial head subluxation (Nursemaid elbow)
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Questions
USMLE® Step 1 style questions USMLE
1 questions
Preview
A 4-year-old girl is brought to the emergency department for acute onset left elbow pain. She was playing in her sandbox when her parent pulled her by the arm to take her inside. Vitals are within normal limits. Examination reveals a young girl who keeps her hand in a pronated and extended position. Any manipulation of the arm causes the girl to cry. There is no swelling or deformity. The physician hyperpronates the forearm, resulting in a click with immediate cessation of pain and resumption of the patient using her arm. Which of the following best describes the etiology of this patient’s condition?
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Radial head subluxation (Nursemaid elbow) exam links
Summary
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.
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