Understanding and Preventing Nursemaid's Elbow in Children

Nursemaid's elbow, also known as pulled elbow or radial head subluxation, is a common injury among toddlers and preschoolers. It occurs when the elbow joint slips out of its normal position, causing pain and discomfort for your child. In this article, we'll discuss the causes, symptoms, treatment, and prevention of nursemaid's elbow.

What Causes Nursemaid's Elbow?

Nursemaid's elbow can happen when a child's arm is pulled or tugged, especially if the arm is twisted. This injury is more common in young children because their ligaments, which connect the elbow bone to the joint, are still loose and developing. Some common causes include:

• Catching a child by the hand to stop a fall

• Lifting a child up by the hands or wrists

• Pulling a child's arm through a jacket sleeve

• Swinging a child by the arms or hands

• Yanking on a child's arm to make them walk faster

Symptoms of Nursemaid's Elbow

If your child has nursemaid's elbow, they may experience the following symptoms:

• Pain when moving the affected arm

• Crying when the arm is moved or touched

• Holding the arm close to their side or supporting it with the other arm

• Refusing to use the affected arm

It's important to note that there is usually no swelling, bruising, or other visible signs of a serious injury.

Treatment for Nursemaid's Elbow

If you suspect your child has nursemaid's elbow, it's essential to seek medical attention. Your doctor will examine your child's arm and may perform a "reduction maneuver" to put the elbow back into its correct position. This procedure is quick and usually resolves the issue within minutes.

In some cases, over-the-counter pain medication, such as acetaminophen or ibuprofen, may be recommended to help manage any discomfort. Always consult your healthcare provider for the appropriate dosage for your child.

Preventing Nursemaid's Elbow

To reduce the risk of nursemaid's elbow, follow these tips:

• Avoid lifting your child by their arms or hands; instead, lift them under their arms

• Never tug or jerk your child's hand or arm

• Refrain from swinging your child by their hands or arms

As your child grows, their ligaments will become stronger, making nursemaid's elbow less likely to occur. However, children who have experienced this injury are more prone to future occurrences, so it's crucial to take preventive measures.

For more information on nursemaid's elbow and other common childhood injuries, visit HealthyChildren.org, KidsHealth.org, or consult your pediatrician.