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Nursemaids Elbow

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2. Pulled/nursemaid's elbow Full Text available with Trip Pro

Pulled/nursemaid's elbow Nursemaid's elbow is a radial head subluxation caused by axial traction on the extended arm while the forearm is pronated, allowing for slippage of the radial head. A 2-year-old boy presented with pain, swelling and reduced range of movement of the right elbow for 4 days. The mother noted that the child was moving the right upper limb less often and there was tenderness over the right elbow. X-ray of the right elbow showed subluxation of the elbow joint with no obvious (...) fracture. A trial of conservative management was decided upon and the patient was placed on a right elbow backslab with the right forearm in a supine position. On follow-up, there was no swelling, tenderness or neurological deficit noted. A repeate x-ray revealed normal findings.

2017 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia

3. Nursemaid's Elbow - Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study. Full Text available with Trip Pro

Nursemaid's Elbow - Supination-flexion Technique Versus Hyperpronation/forced Pronation: Randomized Clinical Study. Nursemaid's elbow (NE) represents the most common pathology met in the pediatric orthopedics ambulatory. There are two techniques of reducing the NE: the supination-flexion technique and the hyperpronation or forced pronation technique.In this randomized clinical study, we aim to compare the two reduction techniques of the NE, by measuring the effectiveness of each and scaling

2019 Indian journal of orthopaedics Controlled trial quality: uncertain

4. Nursemaid's Elbow

Nursemaid's Elbow Nursemaids Elbow Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nursemaid's Elbow Nursemaid's Elbow Aka (...) : Nursemaid's Elbow , Pulled Elbow , Radial Head Subluxation From Related Chapters II. General Radial head subluxed beneath orbicular ligament III. Epidemiology Most common between age 1-3 years Rare after 6 years old IV. Mechanism Results from longitudinal traction on hand extended pronated Often occurs when child lifted by wrist or hand V. Symptoms and Signs Audible snap may be heard with Radial Head Subluxation Arm is held motionless at side Slight flexion Pronation Adduction Radial Head tender VI

2018 FP Notebook

5. Pediatrics, Nursemaid Elbow (Treatment)

Pediatrics, Nursemaid Elbow (Treatment) Nursemaid Elbow Treatment & Management: Prehospital Care, Emergency Department Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAzMDI2LXRyZWF0bWVudA (...) == processing > Nursemaid Elbow Treatment & Management Updated: Dec 18, 2018 Author: Wayne Wolfram, MD, MPH; Chief Editor: Kirsten A Bechtel, MD Share Email Print Feedback Close Sections Sections Nursemaid Elbow Treatment Prehospital Care "First do no harm" is a useful precept for prehospital care. Assume that a fracture is present. Taking appropriate precautions to immobilize and protect the extremity is usually wise. Next: Emergency Department Care "First do no harm" is also a useful precept to follow

2014 eMedicine Emergency Medicine

6. Pediatrics, Nursemaid Elbow (Follow-up)

Pediatrics, Nursemaid Elbow (Follow-up) Nursemaid Elbow Follow-up: Deterrence/Prevention, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAzMDI2LWZvbGxvd3Vw processing > Nursemaid Elbow Follow-up (...) Updated: Dec 18, 2018 Author: Wayne Wolfram, MD, MPH; Chief Editor: Kirsten A Bechtel, MD Share Email Print Feedback Close Sections Sections Nursemaid Elbow Follow-up Deterrence/Prevention Because nursemaid elbow tends to reoccur, families benefit from counseling. Avoidance of future axial traction should minimize risk of reoccurrence. Next: Prognosis Prognosis is excellent. Parents can be reassured that no permanent injury results from this condition. For those who have had one occurrence, the chance

2014 eMedicine Emergency Medicine

7. Pediatrics, Nursemaid Elbow (Diagnosis)

Pediatrics, Nursemaid Elbow (Diagnosis) Nursemaid Elbow: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAzMDI2LW92ZXJ2aWV3 processing > Nursemaid Elbow Updated: Dec 18 (...) , 2018 Author: Wayne Wolfram, MD, MPH; Chief Editor: Kirsten A Bechtel, MD Share Email Print Feedback Close Sections Sections Nursemaid Elbow Overview Background Nursemaid elbow, also known as “radial head subluxation” or simply “pulled elbow”, is the most common upper-limb injury in children under the age of 6. [ , ] It is typically an easily treatable condition. Correct diagnosis is the primary challenge to the physician. Next: Pathophysiology The etiology is movement of the head of the radius

2014 eMedicine Emergency Medicine

8. Pediatrics, Nursemaid Elbow (Overview)

Pediatrics, Nursemaid Elbow (Overview) Nursemaid Elbow: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAzMDI2LW92ZXJ2aWV3 processing > Nursemaid Elbow Updated: Dec 18 (...) , 2018 Author: Wayne Wolfram, MD, MPH; Chief Editor: Kirsten A Bechtel, MD Share Email Print Feedback Close Sections Sections Nursemaid Elbow Overview Background Nursemaid elbow, also known as “radial head subluxation” or simply “pulled elbow”, is the most common upper-limb injury in children under the age of 6. [ , ] It is typically an easily treatable condition. Correct diagnosis is the primary challenge to the physician. Next: Pathophysiology The etiology is movement of the head of the radius

2014 eMedicine Emergency Medicine

9. Comparison of success and pain levels of supination-flexion and hyperpronation maneuvers in childhood nursemaid's elbow cases. (Abstract)

Comparison of success and pain levels of supination-flexion and hyperpronation maneuvers in childhood nursemaid's elbow cases. The aim of this study was to compare the hyperpronation (HP) and the supination-flexion (SF) reduction techniques for reducing nursemaid's elbow in terms of efficacy and pain.This prospective, pseudorandomized, controlled, nonblinded study was conducted in an urban tertiary care emergency department between October 1, 2009, and October 1, 2010. A total of 150 patients

2013 American Journal of Emergency Medicine Controlled trial quality: uncertain

10. Nursemaid's Elbow

Nursemaid's Elbow Nursemaids Elbow Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nursemaid's Elbow Nursemaid's Elbow Aka (...) : Nursemaid's Elbow , Pulled Elbow , Radial Head Subluxation From Related Chapters II. General Radial head subluxed beneath orbicular ligament III. Epidemiology Most common between age 1-3 years Rare after 6 years old IV. Mechanism Results from longitudinal traction on hand extended pronated Often occurs when child lifted by wrist or hand V. Symptoms and Signs Audible snap may be heard with Radial Head Subluxation Arm is held motionless at side Slight flexion Pronation Adduction Radial Head tender VI

2015 FP Notebook

11. No Longer a "Nursemaid's" Elbow: Mechanisms, Caregivers, and Prevention. (Abstract)

No Longer a "Nursemaid's" Elbow: Mechanisms, Caregivers, and Prevention. We sought to identify specific mechanisms leading to radial head subluxation, as well as correlation with different caregivers, as a potential platform for education and injury prevention.A retrospective cohort study of all patients admitted to an urban pediatric tertiary care emergency department with radial head subluxation from 1995 to 2009 was performed. Cases were identified using a text-search module followed

2012 Pediatric Emergency Care

12. CRACKCast E052 – Orthopedics – Humerus and Elbow

dislocations are rare Usually an associated triceps rupture, vascular injury and open fracture May be reduced with backward pressure on the forearm 9) List the indications for x-ray in radial head subluxation Aka, nursemaid’s elbow, usually affects girls > boys, and the left arm most commonly Usually ages 1-4, but can occur 6 months – 15 yrs The annular ligament is pulled, and fibers slip between the capitellum and the radial head → the child is unable to supinate hand Hx usually is of a pulling of the arm (...) CRACKCast E052 – Orthopedics – Humerus and Elbow CRACKCast E052 - Orthopedics - Humerus and Elbow - CanadiEM CRACKCast E052 – Orthopedics – Humerus and Elbow In , , by Adam Thomas December 5, 2016 This episode of CRACKCast covers Rosen’s Chapter 52, Humerus and Elbow injuries. These injuries can be seen in patients of all ages, so this is a high yield chapter that may help you on your very next shift! PDF – Rosen’s in Perspective The elbow allows for pronation, supination, flexion, extension

2016 CandiEM

13. Pulled elbow in children Full Text available with Trip Pro

nursemaid's elbow, is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon. The practice of swinging children while holding their hands should be abandoned. In the case of pulled elbow, the child usually avoids moving the affected arm, holding it close to his or her body, without considerable pain, and no obvious swelling or deformity can be seen. While a fracture should be excluded, pulled elbow can usually be identified (...) Pulled elbow in children Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting?Answer Pulled elbow, also called

2018 Canadian Family Physician

14. The Hurty Elbow

ligament surrounding the radial head slips easily over the developing radial head and slides into the radio-humeral joint. Pulled elbow is also known as ‘ Nursemaid’s elbow ’, which heralds from a time where Nursemaid’s were commonplace as primary caregivers for children, and thus be the person to pull on a child’s arm who was perhaps uncooperative or to prevent an accident (e.g. running across the road) Q2. What is the mechanism of injury? Answer and Interpretation Pulled elbow is the most common (...) This injury reoccurs in approximately 30% of children, so advise parents about the typical mechanism of injury and to avoid any tugging to the child’s extended arm in the future. References NEJM Video: Bexkens R et al. Effectiveness of reduction maneuvers in the treatment of nursemaid’s elbow: A systematic review and meta-analysis. Am J Emerg Med. 2017 Jan;35(1):159-163. [ ] CLINICAL CASES Paediatric Perplexity Authors : Anne Sage and Johnny Iliff Peer review : Reader Interactions Leave a Reply This site

2017 Life in the Fast Lane Blog

15. Epidemiology of Nursemaid’s Elbow Full Text available with Trip Pro

Epidemiology of Nursemaid’s Elbow To provide an epidemiological description of radial head subluxation, also known as nursemaid's elbow, from a database of emergency department visits.We conducted a retrospective medical record review of patients 6 years of age and younger, who presented to the ED between January 1, 2005, and December 31, 2012, and were diagnosed with nursemaid's elbow. Inclusion criteria consisted of chart information, including date, unique account number, medical record (...) number, weight, age, sex, and arm affected. Exclusion criteria included any charts with missing or incomplete data.There were 1,228 charts that met inclusion criteria. The majority of patients were female (60%). The mean age was 28.6 months (±12.6). The left arm was affected 60% of the time. Most of the included patients were over the 75(th) percentile for weight and more than one quarter were over the 95(th) percentile in each gender.The average age of children presenting with nursemaid's elbow

2014 Western Journal of Emergency Medicine

16. Sonographic finding of a pulled elbow: the "hook sign". (Abstract)

Sonographic finding of a pulled elbow: the "hook sign". Point-of-care ultrasound has become a useful clinical adjunct, especially in emergency medicine, because it is noninvasive, repeatable, and nonradiating. In cases of pulled elbow also known as nursemaid's elbow or radial head subluxation, diagnosis is usually performed clinically. However, there is the potential for a failed reduction or misdiagnosis. We introduce a potentially useful diagnostic finding for pulled elbow ("Hook sign") using

2014 Pediatric Emergency Care

17. Elbow Trauma, Pediatric

Elbow Trauma, Pediatric Imaging in Pediatric Elbow Trauma: Practice Essentials, Anatomy, Fractures of the Distal Humerus Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDE1ODIyLW92ZXJ2aWV3 processing > Imaging (...) in Pediatric Elbow Trauma Updated: Nov 30, 2018 Author: Richard M Shore, MD; Chief Editor: Felix S Chew, MD, MBA, MEd Share Email Print Feedback Close Sections Sections Imaging in Pediatric Elbow Trauma Overview Practice Essentials Elbow fractures are the most common type of fractures in children, primarily occurring from a fall on an outstretched hand. Elbow fractures include supracondylar, lateral condyle, medial condyle, radial head and neck, and olecranon. [ , , , ] The evaluation of pediatric elbow

2014 eMedicine Radiology

18. Elbow Dislocation (Follow-up)

Complications of elbow dislocation primarily include neurovascular compromise, , and loss of ROM. Chronic may occur. Close attention to the examination pre- and postreduction as well as at the follow-up visit may alert the physician to potential neurologic problems. Previous Next: Prevention Elbow dislocations in children due to radial head subluxation (nursemaid's elbow) are often preventable. A child should not be forcibly pulled, lifted, or swung in the air by the hand or wrist. Always lift a small child (...) Elbow Dislocation (Follow-up) Elbow Dislocation Follow-up: Return to Play, Complications, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTY3NTgtZm9sbG93dXA= processing > Elbow Dislocation Follow-up

2014 eMedicine.com

19. A Clinical Trial of Pronation Versus Supination Maneuvers for the Reduction of the Pulled Elbow

Estudios Superiores de Monterey. Recruitment status was: Not yet recruiting First Posted : March 26, 2012 Last Update Posted : March 26, 2012 Sponsor: Instituto Tecnologico y de Estudios Superiores de Monterey Information provided by (Responsible Party): Carlos Alberto Cuello-Garcia, Instituto Tecnologico y de Estudios Superiores de Monterey Study Details Study Description Go to Brief Summary: Nursemaid elbow or pulled elbow is a condition commonly seen in the emergency department. It is the sudden (...) pull of the radial head (a bone in the elbow) in toddlers. Usually occur when a parent tries to pull the child by the arm and a "clic" or "clunk" is felt with immediate pain and unwilling to move the arm. It is not a dangerous condition although it is distressing for kids and their parents/caretakers. Condition or disease Intervention/treatment Phase Nursemaid Elbow Pulled Elbow Other: Pronation Other: Supination Not Applicable Detailed Description: The usual therapy consists of one of two

2012 Clinical Trials

20. Nursemaid's elbow: Its diagnostic clues and preferred means of reduction. (Abstract)

Nursemaid's elbow: Its diagnostic clues and preferred means of reduction. 20074495 2010 06 15 2016 11 25 1533-7294 59 1 2010 Jan The Journal of family practice J Fam Pract Nursemaid's elbow: Its diagnostic clues and preferred means of reduction. E5-7 Krul Marjolein M Department of General Practice, Erasmus University Medical Center, Rotterdam, The Netherlands. m.krul@erasmusmc.nl van der Wouden Johannes C JC Koes Bart W BW Schellevis François G FG van Suijlekom-Smit Lisette Wa LW eng Journal (...) Article Review United States J Fam Pract 7502590 0094-3509 AIM IM Child Elbow Joint injuries Humans Incidence Joint Dislocations diagnosis epidemiology therapy Ligaments injuries Medical History Taking methods Nurses Orthopedic Procedures methods Physical Examination methods 33 2010 1 16 6 0 2010 1 16 6 0 2010 6 16 6 0 ppublish 20074495 jfp_5901k

2010 Journal of Family Practice

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