Radial head subluxation - Revision history

Rossdonaldson1 at 20:20, 5 March 2025

2025-03-05T20:20:24Z

← Older revision		Revision as of 20:20, 5 March 2025
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	[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]		[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]
	[[File:Elbow subluxation.png\|thumb\|Medical illustration showing the displaced angular ligament with elbow subluxation.]]		[[File:Elbow subluxation.png\|thumb\|Medical illustration showing the displaced angular ligament with elbow subluxation.]]
			[[File:Elbow subluxation mechanisms.png\|thumb\|Common radial head subluxation mechanisms of injury.]]
	*Also known as "Nursemaid's elbow" an "pulled elbow"		*Also known as "Nursemaid's elbow" an "pulled elbow"
	*Radial head subluxation due to longitudinal traction on arm		*Radial head subluxation due to longitudinal traction on arm

2025-03-05T20:15:56Z

Management

← Older revision		Revision as of 20:15, 5 March 2025
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	==Management==		==Management==
	[[File:Fixing nursemaid elbow hariadhi.~~svg~~\|thumb\|Hyperpronation (A) and supination (B) techniques. These techniques may also be combined in practice.]]		[[File:Fixing nursemaid elbow hariadhi.png\|thumb\|Hyperpronation (A) and supination (B) techniques. These techniques may also be combined in practice.]]
	===Reduction===		===Reduction===
	''Hyperpronation has greater first attempt success (94% vs 69%), but both have similar overall reduction rate;<ref>Pronation versus supination maneuvers for the reduction of 'pulled elbow': a randomized clinical trial. Eur J Emerg Med. 2009 Jun;16(3):135-8. doi: 10.1097/MEJ.0b013e32831d796a.</ref> consider doing both techniques at once in quick succession''		''Hyperpronation has greater first attempt success (94% vs 69%), but both have similar overall reduction rate;<ref>Pronation versus supination maneuvers for the reduction of 'pulled elbow': a randomized clinical trial. Eur J Emerg Med. 2009 Jun;16(3):135-8. doi: 10.1097/MEJ.0b013e32831d796a.</ref> consider doing both techniques at once in quick succession''

2025-03-05T20:12:10Z

Management

← Older revision		Revision as of 20:12, 5 March 2025
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	==Management==		==Management==
			[[File:Fixing nursemaid elbow hariadhi.svg\|thumb\|Hyperpronation (A) and supination (B) techniques. These techniques may also be combined in practice.]]
	===Reduction===		===Reduction===
	''Hyperpronation has greater first attempt success (94% vs 69%), but both have similar overall reduction rate;<ref>Pronation versus supination maneuvers for the reduction of 'pulled elbow': a randomized clinical trial. Eur J Emerg Med. 2009 Jun;16(3):135-8. doi: 10.1097/MEJ.0b013e32831d796a.</ref> consider doing both techniques at once in quick succession''		''Hyperpronation has greater first attempt success (94% vs 69%), but both have similar overall reduction rate;<ref>Pronation versus supination maneuvers for the reduction of 'pulled elbow': a randomized clinical trial. Eur J Emerg Med. 2009 Jun;16(3):135-8. doi: 10.1097/MEJ.0b013e32831d796a.</ref> consider doing both techniques at once in quick succession''

2025-03-05T20:08:38Z

Clinical Features

← Older revision		Revision as of 20:08, 5 March 2025
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	==Clinical Features==		==Clinical Features==
			===History===
	*Typical history includes sudden longitudinal traction on the arm		*Typical history includes sudden longitudinal traction on the arm
	**Swinging child by arms by playing		**Swinging child by arms by playing
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	*Younger children may sustain the injury by less classic mechanisms		*Younger children may sustain the injury by less classic mechanisms
	*Sudden onset of pain		*Sudden onset of pain

			===Physical===
	*Refusal to use the affected arm		*Refusal to use the affected arm
	*Arm held in extension		*Arm held in extension
	*Refusal to supinate		*Refusal to supinate
			*''Non''-tender to palpation
	*Limited edema		*Limited edema
	*No bruising		*No bruising

2025-03-05T20:07:28Z

Rossdonaldson1 moved page Nursemaid's elbow to Radial head subluxation over redirect

← Older revision	Revision as of 20:07, 5 March 2025
(No difference)

2025-03-05T20:07:12Z

Background

← Older revision		Revision as of 20:07, 5 March 2025
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	[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]		[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]
	[[File:Elbow subluxation.png\|thumb\|Medical illustration showing the displaced angular ligament with elbow subluxation.]]		[[File:Elbow subluxation.png\|thumb\|Medical illustration showing the displaced angular ligament with elbow subluxation.]]
			*Also known as "Nursemaid's elbow" an "pulled elbow"
	*Radial head subluxation due to longitudinal traction on arm		*Radial head subluxation due to longitudinal traction on arm
	**Annular ligament of radius displaces into radiocapitellar articulation		**Annular ligament of radius displaces into radiocapitellar articulation

2025-03-05T20:05:56Z

Background

← Older revision		Revision as of 20:05, 5 March 2025
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	==Background==		==Background==
	[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]		[[File:Gray331.png\|thumb\|Anterior capsule of elbow-joint. Nursemaid's elbow involves the head of radius slipping out from the anular ligament of radius.]]
			[[File:Elbow subluxation.png\|thumb\|Medical illustration showing the displaced angular ligament with elbow subluxation.]]
	*Radial head subluxation due to longitudinal traction on arm		*Radial head subluxation due to longitudinal traction on arm
	**Annular ligament of radius displaces into radiocapitellar articulation		**Annular ligament of radius displaces into radiocapitellar articulation

2025-03-05T19:15:42Z

External Links

← Older revision		Revision as of 19:15, 5 March 2025
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	==External Links==		==External Links==
	*[https://www.merckmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-a-radial-head-subluxation-nursemaids-elbow?query=nursemaid%20elbow\| Merk Manual: How To Reduce a Radial Head Subluxation (Nursemaid's Elbow)]		*[https://www.merckmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-a-radial-head-subluxation-nursemaids-elbow?query=nursemaid%20elbow\| Merk Manual: How To Reduce a Radial Head Subluxation (Nursemaid's Elbow)]

	~~===Videos===~~
	~~{{#widget:YouTube\|id=n74j7dNQbjU}}~~

	==References==		==References==

2021-07-15T22:19:06Z

External Links

← Older revision		Revision as of 22:19, 15 July 2021
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	==External Links==		==External Links==
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~104158~~-~~overview#showall Medscape~~ - ~~Reduction of~~ Radial Head Subluxation]		*[https://www.merckmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-a-radial-head-subluxation-nursemaids-elbow?query=nursemaid%20elbow\| Merk Manual: How To Reduce a Radial Head Subluxation (Nursemaid's Elbow)]

	===Videos===		===Videos===

2021-07-03T02:00:43Z

Videos

← Older revision		Revision as of 02:00, 3 July 2021
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	===Videos===		===Videos===
	~~[https~~:~~//www.youtube.com/watch?v~~=~~-0ROu4hCXwQ Video Demonstration Reduction]~~		{{#widget:YouTube\|id=n74j7dNQbjU}}

	==References==		==References==