What is Nursemaid’s Elbow?
Nursemaid’s elbow is a common injury in young children, usually between ages one and four. It occurs when the upper part of the forearm bone (radial head) partially slips out of the annular ligament that holds it in place. This partial dislocation, or subluxation, can cause discomfort and difficulty using the affected arm.
How Does Nursemaid’s Elbow Happen?
Nursemaid’s elbow often results from a pulling motion on the child’s extended arm, such as when lifting or swinging a child by the hands. The radial head can be pulled downward out of its usual position, leading to this injury. Children usually do not resist the motion, making the ligament more prone to displacement.
Signs and Symptoms of Nursemaid’s Elbow
- Immediate pain, though it may subside after a short time.
- Resistance to moving the elbow or using the arm.
- The affected arm held close to the body with the palm facing downward.
- A lack of swelling, making the injury less obvious.
If you notice these Nursemaid’s elbow symptoms, it’s important to consult a healthcare provider to confirm the diagnosis.
How Urgent is Nursemaid’s Elbow?
Although Nursemaid’s elbow is not a medical emergency, it should be treated promptly to alleviate pain and restore function. If untreated, the child may continue to avoid using the arm. Parents may wonder, “Will Nursemaid’s elbow correct itself?” In most cases, it will not heal on its own, and professional reduction is needed.
Should You Go to the ER for Nursemaid’s Elbow?
In most cases, a visit to the ER is not necessary. However, you should consult a doctor if the child continues to show signs of injury, if you’re unsure of the diagnosis, or if you suspect a fracture.
Diagnosis
The experienced team at OrthoConnecticut, including our orthopedic surgeons and PAs, excels in diagnosing Nursemaid’s elbow through:
- A detailed history, including the pulling incident.
- The absence of swelling or other signs of trauma.
- A gentle physical examination.
While X-rays are typically unnecessary, they may be recommended if a fracture is suspected.
Nursemaid’s Elbow Treatment
Our specialists use a safe and effective method to reduce the subluxation. This involves supinating the forearm (turning the palm upward) and guiding the radial head back into place. During the Nursemaid’s elbow reduction, a click may be felt as the joint realigns.
Children usually experience immediate relief and quickly regain use of the arm. If the reduction is challenging or if the injury recurs frequently, the elbow may be immobilized temporarily with a splint to allow for healing.
When to Take a Child to the Doctor for Nursemaid’s Elbow
You should visit a doctor if:
- The child refuses to use the arm after a pulling incident.
- There’s noticeable discomfort or restricted movement.
- You’re unsure whether the injury is Nursemaid’s elbow or something more serious.
Preventing Recurrence
Although Nursemaid’s elbow may recur, especially in young children, it typically stabilizes as they grow. To prevent future injuries, parents and caregivers should:
- Avoid pulling, lifting, or swinging the child by their arms.
- Educate others who interact with the child about the risks.
Long-Term Outlook
Nursemaid’s elbow is a treatable injury with no long-term effects when addressed properly. Even with multiple recurrences, the condition typically resolves completely as the child’s joints mature.
Why Choose OrthoConnecticut?
At OrthoConnecticut, our team specializes in diagnosing and treating Nursemaid’s elbow and other pediatric orthopedic conditions. Whether it’s your first encounter with this injury or a recurrent episode, our skilled orthopedic surgeons and PAs provide expert care to ensure your child’s recovery is swift and comfortable.
From the initial consultation to treatment and prevention education, we’re here to guide you through every step with compassion and expertise. If you suspect Nursemaid’s elbow or have questions, we’re ready to help.Schedule a consultation with OrthoConnecticut today, and let us help your child get back to their favorite activities—happy, healthy, and pain-free.
