In nursemaid's elbow, the annular ligament becomes transiently interposed between the radial head and capitellum, but does not cause ...ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAzMDI2LXdvcmt1cA==processing....Drugs&Diseases>EmergencyMedicineNursemaidElbow WorkupUpdated:Dec18,2018Author:WayneWolfram,MD,MPH;ChiefEditor:KirstenABechtel,MD more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsNursemaidElbowSectionsNursemaidElbowOverviewBackgroundPathophysiologyEpidemiologyPrognosisPatientEducationShowAllPresentationHistoryPhysicalCausesShowAllDDxWorkupApproachConsiderationsImagingStudiesOtherTestsShowAllTreatmentPrehospitalCareEmergencyDepartmentCareConsultationsShowAllMedicationFollow-upDeterrence/PreventionPrognosisShowAllQuestions&AnswersReferencesWorkupApproachConsiderationsTheprimarychallengeistoarriveatthecorrectdiagnosiswithoutoverlookingothercausesofthepatient'ssymptoms.Next:ImagingStudiesInnursemaid’selbow,theannularligamentbecomestransientlyinterposedbetweentheradialheadandcapitellum,butdoesnotcauserecognizablewideningoftheradiocapitellarjoint.Nursemaid’selbowsareoftenindistinguishablefromhealthyelbowsonradiograph.[3] However,if historyand/orphysicalexamrevealconcernsforpossiblefracture,radiographymaybewarranted.Ifmanipulationisunsuccessfulandareviewofthehistoryandphysicalexaminationsupportsnursemaidelbowasthelikelydiagnosis,anotherattemptatreductionmaybeperformedusingthesamemethod.Ifreductionisagainunsuccessfu