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Paediatrics
intermediate
X-Type

Radial Head Subluxation (Nursemaid's Elbow)

Pediatric Trauma

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 by the hand to prevent a fall. The child is holding the arm in a pronated, slightly flexed position against her body and cries with any attempted movement. There is no swelling, deformity, or point tenderness. She will not supinate the forearm. Regarding radial head subluxation (nursemaid's elbow):

Mark each as TRUE or FALSE

A

Radial head subluxation occurs when longitudinal traction on the extended, pronated forearm causes t...

B

The classic mechanism is axial traction on the extended arm with the forearm pronated (pulling a chi...

C

Radial head subluxation is most common in children over 8 years; the mechanism involves forced supin...

D

Reduction techniques include hyperpronation (forearm forcefully pronated with thumb pressure on radi...

E

Post-reduction, the child should use the arm normally within 30 minutes; if no improvement, consider...

Answer the questions to see explanations

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