Radial head subluxation: Difference between revisions
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#Pronation alone (93% successful) | #Pronation alone (93% successful) | ||
#Extend elbow then quickly supinate & flex (84%) | #Extend elbow then quickly supinate & flex (84%) | ||
if back in child will move arm again in <30 min | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 22:44, 7 June 2011
Pathophysiology
Transverse tear in annular ligament with entrapment of annular ligament between radial head and capitellum
Diagnosis
- Age 1y-5y (peak 2y-3y) d/t swinging pt by arm
- Sudden onset
- Absence of edema, focal tenderness, or bruising
- ANY swelling/bruising NOT typical so XR!
Treatment
- Pronation alone (93% successful)
- Extend elbow then quickly supinate & flex (84%)
if back in child will move arm again in <30 min