Pulled elbow

Pulled Elbow is a common injury among children, particularly those between the ages of 1 and 4. It occurs when a child's arm is pulled, causing the elbow to become partially dislocated.

Causes

A pulled elbow, also known as Nursemaid's Elbow, is typically caused by a sudden yank or pull on a child's lower arm or wrist. This can occur when a child is lifted or swung by their arms, or if they fall while their arm is being held. The force of the pull can cause the radius (one of the bones in the forearm) to slip out of place from where it normally sits against the humerus (the upper arm bone).

Symptoms

The main symptom of a pulled elbow is pain and discomfort in the affected arm. The child may also refuse to use the arm and hold it slightly bent at the elbow and turned inward toward the body. There is usually no swelling or deformity that can be seen.

Diagnosis

Diagnosis of a pulled elbow is usually based on the symptoms and the events leading up to the injury. A physical examination is typically sufficient, although in some cases an X-ray may be used to rule out a fracture.

Treatment

Treatment for a pulled elbow involves a procedure known as a reduction. This is where a healthcare professional gently moves the arm in specific ways to guide the radius back into its correct position. Once the elbow has been reduced, the pain usually subsides quickly and the child is able to use their arm again.

Prevention

Prevention of a pulled elbow involves avoiding lifting or swinging a child by their arms. Instead, it is recommended to lift children from under their armpits.

See Also

• Elbow Injuries
• Pediatric Trauma
• Physical Examination

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