Pulled Elbow

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www.healthinfo.org.nz Pulled elbow A pulled elbow is a common injury in children aged between 1 and 4 years. It usually happens after a sudden pull on the child's lower arm or wrist, for example when someone lifts them by one arm. If your child has a pulled elbow they will usually cry straight away and not use their arm. They will often hang the arm by their side. Children have weaker ligaments (short bands of strong, flexible tissue that connect joints) than adults. In pulled elbow a circular ligament that wraps around the top of one of the bones in their forearm, the radial bone, stretches and pulls out of place. This causes pain until the ligament goes back into place. Treating a pulled elbow A doctor or nurse should treat a pulled elbow. They will usually move your child's arm in a particular way to put the ligament back in place. They can do this quickly. Your child might be surprised at first, but then the pain should get better, so your child goes back to using their elbow as normal within a few minutes. Your child will not usually need an X-ray to diagnose a pulled elbow. The doctor or nurse will usually watch them for a short time after treatment to make sure they are using their arm without any problems. If they are still in pain or not using their arm, they might need an X-ray to see what's happening. Caring for a child with a pulled elbow Once your child's ligament is back in place their arm should not be painful. Some children may be a little sore and need some paracetamol. After treatment your child can continue with life as normal. They don't need a sling and you don't need to stop them from playing in any way. To prevent pulled elbow in the future, try not to pick up your child by one arm. Teach other caregivers to do the same. Please come back if: ▪ your child in not using their arm normally ▪ your child is in pain and doesn't get better with paracetamol. If the injury happens again do not try to treat it yourself. Always seek medical attention. If you have any concerns contact your GP, phone Healthline (0800-611-116) or take your child to the after-hours GP service. Written by Orthopaedics Outpatients Department, Canterbury DHB. Adapted by HealthInfo clinical advisers. Last reviewed June 2019. 131964 HealthInfo reference: 131964 ⚫ Issued: 12 June 2019 ⚫ Page 1 of 1 .

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Pediatric Orthopedic Injuries… … from an ED State of Mind
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197 Index abdominal aortic aneurysm (AAA) 3 bipolar disorder 82 abdominal trauma 43–44 bites abscess 179 animal 179 peritonsillar 30–31 human 184–185 Achilles tendon injuries 91, 103 bleeding see haemorrhage acromioclavicular joint injury 114 blindness, sudden onset 152 acute angle‐closure glaucoma 147 borderline personality disorder 82 acute coronary syndrome (ACS) 4–5 Bouytonniere deformity 106 acute kidney injury (AKI) 65 Boxer’s fracture 105 acute left ventricular failure 14 bradycardia 10, 193 acute otitis media (AOM) 29–30 algorithm 11 acute sore throat 23–24 bronchitis, chronic 168 alcohol misuse 157 burns 180–182 alcohol withdrawal 157 bursitis amputation, traumatic 116 olecranon 96, 98 anaphylaxis 5–6 pre‐patellar 109 algorithm 7 angina, unstable 4 calcanium fractures 95 animal bites 179 carbon monoxide poisoning 158 ankle injuries 92–93 carpal bone fracture 120 anterior uveitis 147–148 cellulitis 182–183 anxiety disorders 83 cerebrovascular event 132–133 acute anxiety 85–86 chemical injury, eye 149–150 aortic dissection, thoracic 8 chest sepsis 166–167 appendicitis 44–45 chest wall injury 167–168 arrhythmias chickenpox 187–188 atrial fibrillation (AF) 9–10 cholecystitis (acute) 45–46 bradycardia 10–11, 193 chronic obstructive pulmonary disease tachycardia 19–20, 194, 195 (COPD) 168–170 torsade de pointes 194 chronic renal failure 66 ventricular fibrillation 195 clavicle fractures 113 see also heart block cocaine misuse 159 asthma 165–166 colic, biliary 45 asystole 192 collateral ligament injuries atrial fibrillation (AF) 9–10, 191 knee 108 atrial flutter 191 ulnar 105–106 auricular haematoma 24 Colles’ fracture 119 compartment syndrome 95–96 back pain, acute 93–94 confusion, acute 83–84 Bell’s palsy COPYRIGHTED123–124 conjunctivitis MATERIAL 150 grading system 123–124 convulsions see seizures Bennett’s fracture 105 corneal injury 150–151 biceps tendon rupture 116, 117 coronary heart disease (CHD) 4 biliary colic 45 Crohn’s disease 46–47 Rapid Emergency and Unscheduled Care, First Edition.
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