A partial dislocation of the elbow resulting in decreased movement.
Alternative Names
Pulled elbow; Dislocated elbow - children
Causes, incidence, and risk factors
Nursemaid's elbow is a common condition in young children (generally under 5 years of age) that results when the arm is pulled by the hand or wrist. It is often seen after a parent lifts a child by one arm up a curb or high step. The child generally begins to cry immediately and refuses to use the arm. The arm is held in a slightly flexed position (slightly bent at the elbow) and the forearm held against the abdomen. The child will move the shoulder, but not the elbow.
Signs and tests
The child will be unable to supinate the hand (rotate the arm at the elbow so that the palm is up).
Treatment
The dislocation is reduced by rotating the forearm so that the palm is up and gently flexing the elbow all the way. Note: THIS MUST BE DONE BY THE HEALTH CARE PROVIDER!
Expectations (prognosis)
If a nursemaid's elbow remains unreduced, it may result in permanent inability to fully extend the elbow.
Calling your health care provider
Call your health care provider if you suspect your child has a dislocated elbow or refuses to use an arm.
Prevention
Avoid lifting a child by one arm only (from the wrist or hand). Lift under the arm, from the upper arm, or both arms at a time.