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Related Experiment Video

Updated: Feb 9, 2026

A Standardized Method for Measurement of Elbow Kinesthesia

A Standardized Method for Measurement of Elbow Kinesthesia

Published on: October 10, 2020

Pulled elbow in children.

Syunsuke Yamanaka, Ran D Goldman

Canadian Family Physician Medecin De Famille Canadien

|June 15, 2018

Summary

This summary is machine-generated.

Nursemaid's elbow, or pulled elbow, is a common injury in children caused by pulling the arm. This condition can often be managed effectively in a clinic setting with a high success rate using specific reduction techniques.

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Area of Science:

Pediatric Orthopedics
Musculoskeletal Injuries

Background:

Pulled elbow (nursemaid's elbow) is a common radial head subluxation in children.
It results from axial traction or sudden pulling of a pronated arm.

Purpose of the Study:

To evaluate the feasibility and efficacy of managing pulled elbow in a clinic setting.
To determine the best course of action for clinic-based management.

Main Methods:

Clinical identification of pulled elbow based on characteristic presentation (child avoids moving affected arm).
In-office reduction procedure using the hyperpronation maneuver.
Exclusion of fracture as a differential diagnosis.

Main Results:

Pulled elbow management in the clinic setting has an 80% success rate with no complications.
The hyperpronation maneuver is more effective than the supination-flexion maneuver for reduction.
Fracture should be excluded, but clinical presentation is often diagnostic.

Conclusions:

Pulled elbow can be safely and effectively managed in a clinic setting.
The hyperpronation maneuver is the recommended initial reduction technique.
If two reduction attempts fail, splinting and referral for further evaluation are indicated.