João Costa, Joana Costa, Fernando Macedo, Miguel Rocha, João Lucas and João Luís Moura*

Department of Orthopaedic, Hospital Senhora da Oliveira, Guimarães, Portugal

*Corresponding Author: João Costa, Department of Orthopaedic, Hospital Senhora da Oliveira, Guimarães, Portugal.

Received: November 21, 2022; Published: December 15, 2022

Abstract

Pulled elbow is characterized by a subluxation of the radial head, usually reported in children between 1 and 4 years of age. It is a condition that requires closed reduction, with an excellent prognosis as it allows pain free mobilization a few minutes after reduction. As the injury mechanism is axial traction of the upper limb, this injury is usually associated with traction caused by adults on the child for which the nickname Nursemaid’s elbow was given. The authors describe a case of pulled elbow diagnosed in a newborn in which traction was applied to the upper limbs during delivery, treated using supination technique. Therefore, It’s the case of nursemaid’s elbow described at a youngest age.

Keywords: Pulled Elbow; Newborn; Breech Presentation

References

1. Vitello , et al. “Epidemiology of nursemaid's elbow”. The Western Journal of Emergency Medicine 15.4 (2014): 554-557.
2. McRae R and Freeman “The lesion of pulled elbow”. The Journal of Bone and Joint Surgery. British 47B (1965): 808.
3. Snyder “Radiographic changes with radial head subluxation in children”. The Journal of Emergency Medicine 8.3 (1990): 265-269.
4. Krul M., et al. “Manipulative interventions for reducing pulled elbow in young children”. Cochrane Database of Systematic Reviews 1 (2012): CD007759.
5. Asher “Dislocations of the upper extremity in children”. Orthopedic Clinics of North America 7.3 (1976): 583-591.
6. Welch , et al. “Radial head subluxation among young children in the United States associated with consumer products and recreational activities”. Clinical Pediatrics (Phila) 56.8 (2017): 707-715.
7. Irie T., et al. “Investigation on 2331 cases of pulled elbow over the last 10 years”. Pediatric Reports 2 (2014): 5090.
8. Stans A. “Dislocations of the elbow”. In Rockwood A, Beaty J, Kasser J, editors. In Rockwood and Wilkins' fractures in children. 7^th Philadelphia: Lippincott Williams and Wilkins (2010): 594-619.
9. Kraus , et al. “Missed elbow fractures misdiagnosed as radial head subluxations”. Acta Orthopaedica Belgica 76.3 (2010): 312-315.
10. Bin Abd Razak HR., et al. “Generalized ligamentous laxity may be a predisposing factor for musculoskeletal injuries”. Journal of Science and Medicine in Sport 5 (2014): 474-478.

Citation

Citation: João Costa., et al. “Nursemaid’s Elbow in a Newborn”.Acta Scientific Orthopaedics 6.1 (2023): 140-142.

Copyright

Copyright: © 2023 João Costa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.