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Pulled Elbow

 

DESCRIPTION

Pulled elbow, a mild dislocation that occurs in children, is often called a ""nursemaid's elbow.'' It happens when a sudden yank on the child's arm pulls the two forearm bones out of line. It occurs most frequently in children 1 to 4 years old. Because the chances of the dislocation recurring are high for 3 to 4 weeks after this injury, it is important to avoid pulling the child's arm during this period.

CAUSES

The dislocation usually results from pulling the child's arm--even just to swing the youngster around. The problem is more likely in children with a birth defect that causes the elbow to pull out of its socket easily.

SYMPTOMS

Pain and swelling of the elbow may make the child unwilling to move the injured arm.

CARE

An x-ray of the elbow will probably be needed. Your doctor may then have to reset the bones by pulling on the youngster's arm. This will be painful until the elbow has popped back into place. The child may need to wear a sling until the elbow has healed. A cast is rarely necessary. If the problem occurs repeatedly, the child may need surgery to fix the joint.
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