Nursemaid's elbow occurs when the radius (one of the bones in the forearm) slips out of place from where it normally attaches to the elbow joint. It is a common condition in children younger than 4 years of age. It is also called pulled elbow, slipped elbow, or toddler elbow. The medical term for nursemaid's elbow is radial head subluxation.
A sudden pulling or traction on the hand or forearm, such as when a parent reaches out and grabs a child about to fall or to walk into the street, causes nursemaid's elbow. This causes the radius to slip out of the ligament holding it into the elbow. It can occur when an infant rolls himself or herself over, from a fall, or from pulling or swinging a young child by the hand.
The following are the most common symptoms of nursemaid's elbow. However, each child may experience symptoms differently. Symptoms may include:
Immediate pain in the injured arm
Refusal or inability to move the injured arm
The symptoms of nursemaid's elbow may resemble other conditions or medical problems. Always consult your child's doctor for a diagnosis.
The diagnosis of nursemaid's elbow is made with a physical examination by your child's doctor.
It is important to call your child's doctor immediately, or promptly take your child to the emergency department, if you suspect an injury.
Specific treatment for nursemaid's elbow will be determined by your child's doctor based on the following:
Your child's age, overall health, and medical history
The extent of the condition
Your child's tolerance for specific medications, procedures, or therapies
Expectations for the course of the condition
Your opinion or preference
Treatment may include:
Acetaminophen (for pain), as directed by your child's doctor
Prompt medical treatment while providing reassurance for your child
The injury can usually be reduced (fixed) by your child's doctor with ease and often without the need for X-rays (unless other type of injury or fracture is suspected).
Once the elbow has sustained this type of injury, it is more likely to recur. If this happens again, call your child's doctor or return to the emergency department for further evaluation and treatment. Most children outgrow the tendency for nursemaid's elbow by the age of 5.
Avoid pulling or swinging your child by the arms or hands.
Avoid lifting your child up by his or her arms or hands.
Consult your child's doctor for more information.