Pulled elbow

Question 1

Features

Answer 1

Child under 8 yrs, usually 2–5 yrs

Child refuses to use arm,

• which may be limp by the side

Question 2

Treatment

Answer 2

PHYSICAL MANOEUVRES TO CONSIDER, parental help;

https://www.youtube.com/watch?v=JUr4xazNdFM

Manoeuvre A: Supination flexion: Support radial head with one hand, flex elbow, then suddenly twist forearm into full supination or supinate the forearm, then flex the elbow

Manoeuvre B: Hyperpronation flexion: support radial head, fully pronate forearm, then flex elbow

Manoeuvre C: Gently alternate supination and pronation with elbow slightly flexed.

Note: If uncooperative, send home in sling (may resolve itself)