Current Approach to the Management of Forearm and Elbow Dislocations in Children

Michael Gottlieb1, Linda I Suleiman

  • 1Assistant Professor and Director of Ultrasound (Gottlieb), Department of Emergency Medicine, Rush University Medical Center, Chicago, IL; Assistant Professor (Suleiman), Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

Insights

This article reviews two common pediatric upper extremity orthopedic injuries: radial head subluxations and elbow dislocations. It provides guidance on emergency department diagnosis, treatment, and follow-up for these conditions.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Emergency Medicine
  • Radiology

Background:

  • Pediatric orthopedic injuries frequently necessitate emergency department visits.
  • Prompt management is crucial for specific upper extremity injuries in children.

Purpose of the Study:

  • To sequentially discuss radial head subluxations and elbow dislocations in the pediatric emergency setting.
  • To outline current evidence-based recommendations for imaging, reduction, immobilization, and follow-up.

Main Methods:

  • Review of current literature and evidence for pediatric radial head subluxations.
  • Review of current literature and evidence for pediatric elbow dislocations.

Main Results:

  • Current evidence for imaging, reduction techniques, and follow-up of radial head subluxations is discussed.
  • Recommendations for imaging, reduction, immobilization, and follow-up of elbow dislocations are provided.

Conclusions:

  • Effective emergency department management of pediatric radial head subluxations and elbow dislocations relies on timely diagnosis and appropriate interventions.
  • Adherence to evidence-based guidelines ensures optimal outcomes for these common pediatric orthopedic emergencies.

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