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Intermediate Technical IVT

nursemaid's elbow

Common pediatric injury involving subluxation of the radial head, typically caused by sudden pulling on an extended arm in children under 5 years old.

Full Definition

Nursemaid's elbow, also known as radial head subluxation, is the most common elbow injury in children aged 1-4 years. It occurs when the annular ligament slips over the radial head, usually from sudden traction on an extended, pronated arm. Classic scenarios include lifting a child by the hands or pulling them up from a fall. The child typically presents with arm held in slight flexion and pronation, refusing to use the affected limb. The injury is often easily reduced with simple maneuvers and has excellent prognosis when promptly treated.

Usage

Usage note: Term originated from historical association with nursemaids pulling children; modern usage should be sensitive to this context.

In Context

  • "The emergency department note documented a classic presentation of nursemaid's elbow following the toddler being pulled up by her wrist." — Emergency department documentation
  • "Prevention counseling should address proper techniques for lifting young children to avoid nursemaid's elbow injuries." — Injury prevention materials

Also known as

radial head subluxation pulled elbow

Don't confuse with

elbow fracture shoulder dislocation clavicle fracture

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