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Pulled elbow

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FREMANTLE HOSPITAL

A pulled elbow occurs most often in children ages 1-4 years old when the radial head becomes subluxed or partially dislocated. Key signs include reluctance to use the arm, inability to straighten the elbow, and a clear history of a pulling injury. Treatment involves applying pressure over the radial head while supinating the forearm and flexing the elbow to relocate the radial head. The child's range of motion and radial pulse should be reassessed after the manipulation.

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PULLED ELBOW IN CHILDREN
HISTORY USUALLY IN CHILDREN 1-4 YEARS OLD RADIAL HEAD SUBLUXES DISTINCT HISTORY OF A PULL ANY Hx OF A FALL CONSIDER SUPRACONDULAR FRACTURE
SIGNS AND SYMPTOMS RELUCTANCE TO USE ARM WILL NOT STRAIGHTEN CLEAR Hx OF A PULL NOT ALWAYS SWOLLEN OR DEFORMED CHECK RADIAL PULSE BEFORE AND AFTER
TECHNIQUE applypressureovertheradialhead
supinatetheforearm
flextheelbow
POST MANIPULATION ASSES USE 10 MINS AFTER GIVE ANALGESIA PRN LOW THRESHOLD TO RETURN IF NOT USING LIMB CHECK RADIAL PULSE RE SUBLUXATION IN 30% OF CHILDREN WITHIN 3 MONTHS
REFERENCES ROYAL CHILDENS HOSPITAL MELBOURNE, CLINICAL GUIDELINES. http://www.rch.org.au/clinicalguide/cpg.cfm?do

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