Elbow Injury : Nursemaids Elbow
This refers to a subluxation (partial dislocation) of the radius in the elbow joint. The radius is a forearm bone and one of the three bones which comprise the elbow joint. This problem is seen almost exclusively in toddlers (ages 1 to 4). In these cases, the ligaments stabilizing the radial head (the end of the radius in the elbow joint) are weak and not yet fully developed. The common mode of injury involves the toddler who is picked up by the extended forearms. This puts traction (and stress) on the elbow joint, allowing the radial head to "pop out" of place. The end result is a child who leaves their arm extended at the elbow, hanging limply at their side, refusing to move it. Bone x-rays are performed in the emergency room and, on certain occasions, the elbow is "relocated" in the process. Soon after, the child is observed using the extremity, oblivious to ever having had a problem. Treatment by the physician involves the gentle flexing of the elbow to 90 degrees with rotation of the palm upwards. The treating physician commonly feels a "pop" as the radial head slips back into place. This should only be performed by a trained professional. In most cases, the child will have no further pain or reluctance to use the extremity after relocation. Some cases involve bone or ligament injury and require shoulder sling immobilization for healing. Bone x-rays will occasionally reveal an associated fracture in the radius. Recovery is usually rapid, with no long standing disability. Ice packs, elevation, and treatment with aspirin or acetaminophen for pain, is suggested. Follow-up with an Orthopaedic Surgeon is required.
Hope this article will provide you information about nursemaids elbow.
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