Radial head subluxation (nursemaid's elbow)
- Brian R Moore, MD
Brian R Moore, MD
- Associate Professor of Emergency Medicine
- University of New Mexico Health Sciences Center
- Joan Bothner, MD
Joan Bothner, MD
- Professor of Pediatrics and Emergency Medicine
- University of Colorado School of Medicine
- Section Editor
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
This topic will review radial head subluxation. Elbow fractures and sports-related elbow injuries are discussed separately:
Subscribers log in hereLiterature review current through: Sep 2017. | This topic last updated: Oct 03, 2017.References
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- Vitello S, Dvorkin R, Sattler S, et al. Epidemiology of nursemaid's elbow. West J Emerg Med 2014; 15:554.
- Irie T, Sono T, Hayama Y, et al. Investigation on 2331 cases of pulled elbow over the last 10 years. Pediatr Rep 2014; 6:5090.
- Sacchetti A, Ramoska EE, Glascow C. Nonclassic history in children with radial head subluxations. J Emerg Med 1990; 8:151.
- Newman J. "Nursemaid's elbow" in infants six months and under. J Emerg Med 1985; 2:403.
- Young GM. Reduction of common joint dislocations and subluxations. In: Textbook of Pediatric Emergency Procedures, Henretig FM, King C (Eds), Williams & Wilkins, Baltimore 1997.
- Macias CG, Wiebe R, Bothner J. History and radiographic findings associated with clinically suspected radial head subluxations. Pediatr Emerg Care 2000; 16:22.
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- Frumkin K. Nursemaid's elbow: a radiographic demonstration. Ann Emerg Med 1985; 14:690.
- Lee YS, Sohn YD, Oh YT. New, specific ultrasonographic findings for the diagnosis of pulled elbow. Clin Exp Emerg Med 2014; 1:109.
- Sohn Y, Lee Y, Oh Y, Lee W. Sonographic finding of a pulled elbow: the "hook sign". Pediatr Emerg Care 2014; 30:919.
- Krul M, van der Wouden JC, Kruithof EJ, et al. Manipulative interventions for reducing pulled elbow in young children. Cochrane Database Syst Rev 2017; 7:CD007759.
- Pring M, Wenger D, Rang M. Elbow-Proximal radius and ulna. In: Rang's Children's Fractures, 3rd ed, Rang M, Wenger DR, Pring ME (Eds), Lippincott Williams & Wilkins, Philadelphia 2005. p.119.
- Teach SJ, Schutzman SA. Prospective study of recurrent radial head subluxation. Arch Pediatr Adolesc Med 1996; 150:164.
- TERMINOLOGY AND PATHOPHYSIOLOGY
- CLINICAL FEATURES
- Physical examination
- DIFFERENTIAL DIAGNOSIS
- - Clinically suspected radial head subluxation
- - Patients who fail initial reduction
- - Recurrent radial head subluxation
- Disposition and follow-up
- INDICATIONS FOR SPECIALTY CONSULTATION OR REFERRAL
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS