Nursemaid Elbow 101: Causes, Symptoms And Treatment
Nursemaid’s elbow goes by many names: pulled elbow, radial dislocation, annular ligament displacement. Basically, it’s when the elbow is pulled or partially dislocated. Whatever you decide to call it, it’s pretty scary when it happens to your child for the first time. If you weren’t there to witness the injury, you might just find your child not using the affected limb as if he were paralyzed. Your baby may not even be in pain, but may cry when you try to touch or move your arm. Is it broken? All those “what-ifs” or speculations about what might happen can go through your head, along with the immediate guilt you feel if it happens when you hold your baby your little one or you are holding hands. But I can assure you — it’s not your fault. Read: how to fix the nurse’s elbow
The average age for the appearance of edematous elbow is about 2 ½ years old. It occurs more often in girls than in boys and in the left arm more than in the right, and is more common in children in the 75th percentile for weight. However, it can still attack any child. Read more: How to draw a lion face easily step by step That happened to my son’s left and right arm and it fell steadily in the 50th percentile. So even though he didn’t quite fit. with configuration, but he has a mother with loose ligaments. The poor boy has a genetic predisposition. The first time it happened to my son, he was about 18 months old, and the last time it happened was last month (he is 3 years old now). It can happen simply because you are holding your child’s arm as he walks and you reflexively hold on tighter to prevent him from falling. It can occur during rough play and somersaults. For sassy kids like my son, it even happens when he shakes the chain link fence. Do you see what I’m getting at? It happens, so ignore the guilt; it’s not your fault. Toddlers are more likely to fall because we hold hands to keep them safe… but they fall or impulsively change direction without warning. Also, a toddler’s anatomy is different. The radial head is smaller and the annular ligament is thinner. So that basically means, a toddler’s arm slips out of the socket easily. Now, I realize we can’t stop it from happening all the time (I refuse to turn my kid into a bubble boy), so it’s also helpful to know the signs and symptoms.
Signs / Symptoms
- History of previous incidents of nurse’s elbow
- Witnessing the event that caused the injury or dislocation
- Pain when moving
- Usually with a supine/tilt position (arms supine, then lowered) instead of flexing/extending from the elbow (elbow bent, then straightened)
- Pseudoparalysis – children voluntarily keep their limbs still
- Typically with the arms down
- Elbows slightly bent
- There may be pain on the outside of the elbow
- Complaints of persistent pain despite no visible dislocation, deformity, bruising, swelling or injury- if present, contact your physician**
Two techniques to deal with pulled elbows
Read more: 2A Bulletproof Throw Although both techniques are widely used by pediatricians, research shows that ultrasound is more effective and less painful than lying on your back. For my son we had to use both. When the first one doesn’t work, we try another. I usually feel a “click” that seems to come from his wrist (although the ligament clicks back into place at the elbow). I know him very well being able to lift the affected arm and give me a smile and appreciation.Hyperpronation technique (Move your hand to a position you don’t like)
- Hold the child’s hand as if you were shaking the child’s hand.
- Support the elbow with your other hand.
- Move the hand toward the thumb facing down.
- When you feel or hear a click, the elbow will be reset
- The pain will subside and movement will return.
Super Bright Technique (Move the hand towards the palm facing up)
- Hold the elbow (radial head support – the bony protrusion outside of the elbow) and the hand over the affected arm.
- Move the hand to palm up (wrist extended).
- Bend elbows.
- When you feel or hear a click, the elbow will be reset
- The pain should subside and movement should return in 5 to 30 minutes.
* Always contact your doctor for advice and guidance on your child’s health problems. This article is provided as a reference and is not a substitute for medical care under the supervision of your physician. Read more: Seafood Blog
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