Radial head subluxation: Difference between revisions
(Created page with "==Pathophysiology== Transverse tear in annular ligament with entrapment of annular ligament between radial head and capitellum == == ==Diagnosis/Presentation== -Age 1y-5y ...") |
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==Pathophysiology== | ==Pathophysiology== | ||
Transverse tear in annular ligament with entrapment of annular ligament between radial head and capitellum | 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 | |||
==Diagnosis | #Absence of edema, focal tenderness, or bruising | ||
#ANY swelling/bruising NOT typical so XR! | |||
==Treatment== | ==Treatment== | ||
#Pronation alone (93% successful) | |||
#Extend elbow then quickly supinate & flex (84%) | |||
##if back in child will move arm again in <30 min | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Ortho]] | |||
Revision as of 22:43, 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