Nursemaid´s Elbow (Radial Head Subluxation) — Signs and Radiology. Last update May 31, 2021. 1 Star 2 Stars 3 Stars 4 Stars 5 Stars ...CONTINUELEARNINGSTARTNOWCONTINUELEARNINGSTARTNOWLecturioisusingcookiestoimproveyouruserexperience.BycontinuinguseofourserviceyouagreeuponourDataPrivacyStatement.xTableofContentsDefinitionEpidemiologyAnatomyofNursemaid´sElbowDiscussionofNursemaid´sElbowAnatomyofNursemaid´sElbowCausesofNursemaid´sElbowSignsandSymptomsofNursemaid’selbowDiagnosisofNursemaid´sElbowManagementofNursemaid´sElbowPrognosisAreyoumoreofavisuallearner?Checkoutouronlinevideolecturesandstartyourpediatricrheumatologyandorthopedicscoursenowforfree!DefinitionNursemaid’selbowisalsoknownaspulledelbowduetoitsetiologicmechanism.ThemedicaltermforthemechanismisRadialheadsubluxation.EpidemiologyItisa commonprobleminthepediatricpopulationrepresentingthemostcommonformofupperlimbinjuriesforchildrenundertheageof6years.Ithasbeenrecordedinpatientsaged4–31years.ThepeaknumberofcasesofNursemaid’selbowoccursat26monthsofage.Ithasaslightfemalepredominancewiththelefthandbeingaffectedinmosttimes.AnatomyofNursemaid´sElbowTheelbowismadeupoftwojoints:Thehumeroulnarjointthatjoinsthehumeruswiththeulnaandallowsthebendingoftheelbow.The radiocapitellarjointthatholdstheradiusandhumerus, sotheforearmcanberotatedintothesupineandproneposition.DiscussionofNursemaid´sElbowItisacommonprobleminthepediatricpopulation.Theelbowgetsslippedoutofthenormaljointspace.Radius(elbowbone)isattachedtothehumerusthroughelasticligaments.Theseligamentsgainstrengthandflexibilitywiththepassageoftime.Inchildren,theligamentsareweaksoadetachmentcaneasilyoccur,leadingtoNursemaid’selbow.Itcanhappenwithamildforcesuchasswingingthebabieswhileholdingtheirarms.Theconditionisalsoknownas‘pulledelbow’or‘radialheadsubluxation.’Toddlersandpre-schoolersmostlygettheinjuryasthetissuesaresofterandliabletolacerations.After5or6yearsofage,theincidencegetsreducedastheligamentsbecomestifferandtighter.Girlsaremorepronetothiscondition.Thechildrenag