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OrthoVellum

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Paediatrics
intermediate
X-Type

Nursemaid Elbow Radial Head Subluxation

Elbow Disorders

A 2-year-old girl is brought to the emergency department after her parent pulled on her arm while walking. She now refuses to use the arm and holds it slightly flexed and pronated at her side. There is no swelling or deformity. She cries when the arm is moved but allows gentle palpation without significant distress. Radiographs are normal. Regarding nursemaid's elbow (radial head subluxation):

Mark each as TRUE or FALSE

A

Nursemaid's elbow results from subluxation of the radial head with interposition of the annular liga...

B

Clinical presentation: the child holds the arm at the side with elbow slightly flexed and forearm pr...

C

The condition involves dislocation of the ulna from the humerus; it typically occurs in teenagers; p...

D

Reduction techniques: hyperpronation method (flex elbow 90 degrees, firmly hyperpronation the forear...

E

Recurrence occurs in 20-30% of cases and is more common if the initial episode occurred before age 2...

Answer the questions to see explanations

Click T (True) or F (False) for each option