A hyperpronation or a supination-flexion technique may be used to reduce a radial head subluxation (nursemaid’s elbow). "Nursemaids elbow is an injury that occurs commonly in children under 5 years of age as a result of a quick pull on an extended and pronated arm and results in subluxation of the annular ligament. It is estimated to occur between 3% to 6% of all paediatric elbow injuries 1–4. Elbow, dislocation, children, injuries, outcome INTRODUCTION Paediatric traumatic elbow dislocation, is an uncommon injury1. A 54-year-old plumber reports left elbow swelling for the past few months. A lateral radiograph will typically show a normal ossification pattern in a pediatric elbow, without any obvious fracture or dislocation. These often spontaneously reduce and 15% of these will have the epicondyle trapped (“incarcerated”) within the joint.This incarceration may also occur iatrogenically on reduction of the joint. Traumatic dislocation of the elbow is rare in the paediatric population comprising only 3-6% of all childhood elbow injuries, but the most common large joint dislocation (Lieber et al., 2012). In this episode, we review the high-yield topic of Pediatric Elbow Dislocation from the Pediatrics section. Fractures and Dislocations about the Elbow in the Pediatric Patient Amy L. McIntosh, MD . It is usually the result of a fall onto an outstretched hand, often with a large amount of force involved. The reduction and splinting of an elbow dislocation in a pediatric patient is demonstrated in this video. An AP and lateral X-ray should be arranged.If other fractures are suspected, these areas should also be x-rayed. The swelling has worsened and became more painful over the last week. Patient prone with elbow flexed at 90 degrees at edge of bed. Dislocation, isolated and with associated injuries are often seen between 10 and 15 years of age 2. On examination, he has no fever. Elbow dislocations are common and account for 10-25% of all elbow injuries in the adult population 1.They are the most common dislocation in children 4.. The Orthobullets Podcast In this episode, we review the high-yield topic of Pediatric Elbow Dislocation from the Pediatrics section. Investigations. These techniques are safe and require no special equipment, assistants, analgesia/sedation, or post-procedure immobilization. Share Hang weight from hand, and if needed provider can push olecranon into place Immobilize in long arm posterior mold with elbow in slightly less than 90deg flexion Elbow Fractures in Children • Very common injuries (approximately 65% of pediatric trauma) • Radiographic assessment – difficult for non- orthopaedists ... on every pediatric elbow film . 50% of medial epicondylar fractures are associated with elbow dislocation. If an elbow dislocation is associated with a fracture (fracture-dislocation), it is called "complex." 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