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Radial Head Subluxation Among Young Children in the United States Associated With Consumer Products and Recreational

Rachel Welch1,2, Thiphalak Chounthirath1, Gary A Smith1,2,3

  • 11 Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Clinical Pediatrics
|June 8, 2017
PubMed

Insights

Radial head subluxation (RHS) in children under 5 is increasingly common, with over 430,000 treated in US emergency departments. Falls and arm pulls are leading causes, highlighting risks from consumer products and activities.

Area of Science:

  • Pediatric emergency medicine
  • Injury epidemiology
  • Public health

Background:

  • Radial head subluxation (RHS) is a common elbow injury in children.
  • Previous research has not comprehensively analyzed RHS trends linked to consumer products and recreational activities.

Purpose of the Study:

  • To investigate the epidemiology of pediatric RHS treated in US emergency departments.
  • To identify trends and mechanisms of injury associated with consumer products and recreational activities.

Main Methods:

  • Utilized data from the National Electronic Injury Surveillance System (NEISS) from 1990 to 2011.
  • Analyzed an estimated 430,766 cases of RHS in children aged 5 years and younger.
  • Examined injury mechanisms, patient demographics, and temporal trends.

Main Results:

  • An estimated 430,766 children ≤5 years were treated for RHS.
  • The most common injury mechanisms were falls (43.2%) and arm pulls (39.4%).
  • The annual incidence rate of RHS increased by 190.1% over the study period.

Conclusions:

  • Consumer products and recreational activities are a significant and growing source of pediatric RHS.
  • Public health initiatives should address injury prevention related to these activities.
  • This study provides the largest national dataset on RHS epidemiology and trends.

Keywords:
NEISSannular ligament displacementnursemaid’s elbowpulled elbowradial head subluxation

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