Treatment
Method 1: Hyperpronation.
Method 2: Supination and Flexion.
“Is the most common orthopedic condition of the elbow in children 1-4 years of age, even though kids less than 1 year of age can have it. The MOI is partial displacement of the radial head when the child’s arm undergoes axial traction while in a pronated and fully extended position.
Radial head subluxation, or nursemaid’s elbow, is the most common orthopedic condition of the elbow in children 1–4 years of age, although it can be encountered before 1 year of age and in children as old as 9 years of age. The mechanism of injury is partial displacement of the radial head when the child’s arm undergoes axial traction while in a pronated and fully extended position. The classic history includes a caregiver picking up (or pulling) a toddler by the arm. In half of all cases, however, no inciting event is recalled. As long as there are no outward signs of fracture or abuse it is considered safe and appropriate to attempt reduction of the radial head before moving on to imaging studies. With the child’s elbow in 90° of flexion, the hand is fully supinated by the examiner and the elbow is then brought into full flexion. Usually the child will begin to use the affected arm again within a couple of minutes. If ecchymosis, significant swelling, or pain away from the joint is present, or if symptoms do not improve after attempts at reduction, then a plain radiograph is recommended.” ABFM