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Insights
Pulled elbow, a common pediatric injury, often goes unrecognized. This study highlights its prevalence in toddlers and effective treatment through manipulation.
Area of Science:
- Pediatric Orthopedics
- Musculoskeletal Injuries
- Child Health
Background:
- Pulled elbow (annular ligament להיפרדות) is a frequent yet often overlooked pediatric condition.
- It predominantly affects children aged 1-2 years, with a maximum age of 6 years.
- The normal recalcitrance of toddlers (1-3 years) is a key precipitating factor.
Purpose of the Study:
- To investigate the characteristics and management of pulled elbow in a pediatric cohort.
- To raise awareness among practitioners regarding this common injury.
- To identify predisposing factors and treatment outcomes.
Main Methods:
- Retrospective analysis of 100 children diagnosed with pulled elbow.
- Clinical evaluation of age, precipitating factors, and pain location.
- Assessment of treatment success rates for manual reduction techniques.
Main Results:
- The majority of cases (100 children) occurred in 1-2 year olds; none were over 6 years.
- Wrist pain was frequently reported alongside elbow pain.
- A single manipulation successfully treated 96% of cases, with some requiring multiple attempts.
Conclusions:
- Pulled elbow is a common injury in young children, often linked to toddler-specific behaviors.
- Early recognition and prompt manual reduction are crucial for successful treatment.
- While generally effective, multiple manipulations may be necessary in some instances.
Abstract:
Pulled elbow is a common condition but may not be recognized by practitioners unaware of its existence. Most of a series of 100 children with this condition were aged 1 or 2 years, and none were over 6 years. An important precipitating factor was the normal recalcitrance of the 1-3 age group. The three children who were over 5 years had all had earlier episodes which may have stretched the annular ligament. The wrist was the most common site of pain after the elbow. A single manipulation was successful in 96 cases but multiple manipulations may be needed.
