Upper Limb Injuries
A 2-year-old girl is brought to the emergency department by her mother who reports the child suddenly stopped using her left arm after being pulled up by the hand when she stumbled on the sidewalk. The child holds the arm at her side with the elbow slightly flexed and the forearm pronated. She refuses to supinate or allow elbow movement but the arm appears normal without swelling or deformity. Radiographs are normal. Regarding nursemaid's elbow (radial head subluxation):
Mark each as TRUE or FALSE
Nursemaid's elbow (pulled elbow/radial head subluxation) is caused by axial traction on the extended...
Typical mechanism is longitudinal traction on an extended, pronated arm - commonly from pulling a ch...
Nursemaid's elbow occurs with direct trauma; it is most common in teenagers; the mechanism involves ...
Diagnosis is clinical based on history and examination; radiographs are normal and not routinely req...
Treatment is closed reduction: two techniques are effective - hyperpronation (preferred, higher succ...
Answer the questions to see explanations
Click T (True) or F (False) for each option