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Acute annular ligament interposition into the radiocapitellar joint in children (nursemaid's elbow)
1Department of Orthopaedics, Louisiana State University Medical School, New Orleans, USA.
Insights
Nursemaid's elbow, a common pediatric injury, involves annular ligament displacement. Radiographs are unnecessary for children with classic symptoms, simplifying diagnosis and treatment.
Area of Science:
- Pediatric Orthopedics
- Musculoskeletal Injuries
Background:
- Nursemaid's elbow (acute annular ligament interposition) is a frequent injury in children under 5.
- It results from axial traction on a pronated, extended arm.
Purpose of the Study:
- To evaluate the necessity of radiographic imaging for suspected nursemaid's elbow.
Main Methods:
- Clinical assessment of pediatric patients presenting with symptoms suggestive of nursemaid's elbow.
- Review of radiographic findings in cases with a classic history and physical examination.
Main Results:
- No abnormal radiographic findings are typically associated with this condition.
- Diagnosis relies on clinical presentation and patient history.
Conclusions:
- Radiographs are not recommended for children with a classic presentation of nursemaid's elbow.
- Early diagnosis and treatment can be achieved without imaging, reducing healthcare costs and patient exposure to radiation.
Abstract:
Acute annular ligament interposition into the radiocapitellar joint ("nursemaid's elbow") is a common injury in children younger than 5 years. The injury occurs when axial traction is applied to an extended, pronated arm. There are no abnormal radiographic findings associated with this condition. We recommend that children with a classic history and clinical presentation of an acute annular ligament interposition into the radiocapitellar joint be treated without obtaining radiographs.