Forensic Aspects of Pediatric Fractures by Rob A. C. Bilo Simon G. F. Robben Rick R. Rijn George J. R. Maat & Nina M. Huls

Author:Rob A. C. Bilo, Simon G. F. Robben, Rick R. Rijn, George J. R. Maat & Nina M. Huls
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

5.6.3 ‘Nursemaid's Elbow’

‘Nursemaids elbow’, or pulled elbow syndrome, is the popular name for a subluxation of the head of the radius. These subluxations are regularly seen in children; generally children in the age of 2-3 years old. An infant of 2 months is the youngest child with a subluxation known in the literature. Subluxations of the head of the radius are also seen in older children, although seldom in children over the age of 7 years [67].

When someone pulls the child’s arm with great force, and there is traction along the longitudinal axis of the arm while the lower arm is pronated, it may result in a subluxation. This arm-pulling may be part of the child abuse of the child. However, the majority of cases is caused by an accident. Recurrences may occur.

The radiological examination, which is usually not required due to the obvious anamnesis, generally shows no dislocation. When the radiograph is taken, positioning of the arm by the radiographer will usually reduce the arm.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.