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Related Experiment Videos

Irreducible "pulled elbow" in a child. A case report.

S J Triantafyllou1, S C Wilson, J S Rychak

  • 1Hershey Medical Center, Penn State University, Hershey 17033.

Clinical Orthopaedics and Related Research
|November 1, 1992
PubMed
Summary

Pulled elbow, a common pediatric injury, involves annular ligament tears causing radial head subluxation. While typically treated with closed reduction, this case required surgical intervention for a five-year-old boy.

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Area of Science:

  • Pediatric Orthopedics
  • Musculoskeletal Injuries
  • Ligamentous Injuries

Background:

  • Pulled elbow, or nursemaid's elbow, is a frequent injury in young children.
  • It results from axial traction on an extended, pronated arm, causing annular ligament damage.
  • This damage leads to the subluxation of the radial head.

Observation:

  • A five-year-old boy presented with a pulled elbow injury.
  • Standard closed reduction techniques were attempted.
  • These methods proved insufficient for reducing the subluxated radial head.

Findings:

  • The patient experienced a transverse tear in the annular ligament.
  • Subluxation of the radial head occurred due to the ligament tear.
  • Surgical reduction was ultimately required to address the injury.

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Implications:

  • This case highlights that while closed reduction is common, surgical intervention may be necessary for severe pulled elbow injuries.
  • Understanding the biomechanics of pulled elbow is crucial for effective treatment.
  • Further research into factors predicting the need for surgical reduction could improve patient outcomes.