Nursemaid's elbow: Radial head subluxation injuries in children

Lauren K Paluch1

  • 1Lauren K. Paluch is an assistant professor in the PA program and doctor of medical science program at Eastern Virginia Medical School in Norfolk, Va. The author has disclosed no potential conflicts of interest, financial or otherwise.

Insights

Nursemaid's elbow, a common pediatric arm injury from pulling, is typically diagnosed clinically. This review covers the causes, evaluation, and management of radial head subluxation in children.

Area of Science:

  • Orthopedics
  • Pediatric Medicine
  • Radiology

Background:

  • Radial head subluxation, commonly known as nursemaid's elbow, is a frequent injury in children.
  • It typically results from a longitudinal traction injury to the affected arm.

Purpose of the Study:

  • To review the etiology, diagnostic methods, and treatment strategies for radial head subluxation in pediatric patients.
  • To provide a comprehensive overview of nursemaid's elbow management.

Main Methods:

  • Literature review of causes, clinical diagnosis, imaging modalities, and manipulative reduction techniques.
  • Synthesis of current evidence regarding the evaluation and management of radial head subluxation.

Main Results:

  • Radial head subluxation is primarily a clinical diagnosis, often confirmed by imaging post-reduction.
  • Various manipulative techniques exist for reduction, with selection often based on clinician preference.

Conclusions:

  • Effective management of nursemaid's elbow involves accurate clinical assessment and appropriate reduction techniques.
  • Understanding the causes and diagnostic options is crucial for successful treatment of radial head subluxation.

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