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Nursemaids Elbow

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2. Pulled/nursemaid's elbow (Full text)

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 PubMed

3. Response to effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. (PubMed)

Response to effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. 28215960 2017 09 18 2018 12 02 1532-8171 35 7 2017 07 The American journal of emergency medicine Am J Emerg Med Response to effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. 1016-1017 S0735-6757(17)30097-9 10.1016/j.ajem.2017.02.010 Bexkens Rens R Department of Orthopaedic Surgery, Sports Medicine Service (...) Hospital, Molengracht 21, 4818 CK, Breda, The Netherlands; Department of Orthopaedic Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. Electronic address: deygendaal@amphia.nl. van den Bekerom Michel P J MPJ Department of Orthopaedic Surgery, Shoulder and Elbow Unit, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, 1091 AC, Amsterdam, The Netherlands. Electronic address: bekerom@gmail.com. Oh Luke S LS Department of Orthopaedic Surgery, Sports Medicine Service

2017 The American journal of emergency medicine

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. Effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. (PubMed)

Effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. Nursemaid's elbow usually occurs in young children when longitudinal traction is placed on the arm. Several manipulative maneuvers have been described, although, the most effective treatment technique is yet unclear. The aim of this systematic review and meta-analysis was to compare the two most commonly performed maneuvers (supination-flexion and hyperpronation) in the treatment (...) of nursemaid's elbow.A literature search was performed in PubMed, Embase, and Cochrane databases to identify randomized controlled trials comparing supination-flexion and hyperpronation. Data were extracted and pooled independently by two authors. Methodological quality assessment of included studies was performed. Meta-analysis was performed using a fixed-effect model in case of homogeneity across studies, and using a random-effect model in case of heterogeneity. Heterogeneity was calculated with the χ2

2016 The American journal of emergency medicine

6. Manipulative interventions for reducing pulled elbow in young children. (Full text)

Manipulative interventions for reducing pulled elbow in young children. Pulled elbow (nursemaid's elbow) is a common injury in young children. It often results from a sudden pull on the arm, usually by an adult or taller person, which pulls the radius through the annular ligament, resulting in subluxation (partial dislocation) of the radial head. It can also be caused by a fall or twist. The child experiences sudden acute pain and loss of function in the affected arm. Pulled elbow is usually (...) treated by manual reduction of the subluxed radial head. Various manoeuvres can be applied; most commonly, supination of the forearm, often combined with flexion, and (hyper-)pronation. It is unclear which is most successful. This is an update of a Cochrane review first published in 2009 and last updated in 2011.To compare the effects (benefits and harms) of the different methods used to manipulate pulled elbow in young children.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised

2017 Cochrane PubMed

7. 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

8. 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

9. 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

10. 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

11. 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

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

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

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

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

14. 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

15. 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

16. Pulled elbow in children (Full text)

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 PubMed

17. Sonographic finding of a pulled elbow: the "hook sign". (PubMed)

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

18. Epidemiology of Nursemaid’s Elbow (Full text)

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 PubMed

19. 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

20. 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

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