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Nursemaid's elbow - Treatment

Alternative Names

Radial head dislocation; Pulled elbow; Dislocated elbow - children; Elbow - nursemaid's; Elbow - pulled; Elbow subluxation; Dislocation - elbow - partial; Dislocation - radial head

Treatment:

Sometimes the elbow will slip back into place on its own. Even then, it is best for the child to see a health care provider.

DO NOT try to straighten the arm or change its position. Apply an ice pack to the elbow. Keep the areas above and below the injured elbow (including the shoulder and wrist) from moving, if possible.

Take the child to the doctor's office or emergency room.

The doctor will fix the dislocation by gently flexing the elbow and rotating the forearm so that the palm is facing upward. DO NOT try to do this yourself because you may harm the child.

When nursemaid's elbow returns several times, your health care provider may teach you how to correct the problem yourself. See your health care provider for help.

Expectations (prognosis):

If nursemaid's elbow is not treated, the child may be permanently unable to fully move the elbow. With treatment, there is usually no permanent damage.

Complications:

In some cases, the child may have problems that limit movement of the arm.

Calling your health care provider:

Call your provider if you suspect your child has a dislocated elbow or refuses to use an arm.

  • Reviewed last on: 11/12/2010
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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