HealthSquare.com

Your Prescription Drug Destination
See all our sites for your special health needs at www.HealthCentral.com

Pulled Elbow

WHAT YOU SHOULD KNOW

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.

Signs/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.

WHAT YOU SHOULD DO

  • Try to put ice on the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and the skin.
  • After the first 1 to 2 days, you may put heat on the injury to help ease the pain. Use a heating pad (set on low), a whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
  • If your child is given a sling, keep it on until the doctor says you can remove it. This will make the youngster more comfortable and will help keep the problem from recurring. It's often difficult to keep a younger child in a sling. If the child objects, don't force the issue.
  • For pain relief, you may give the child acetaminophen.
  • Do not pull the child by the hand, wrists, or forearms. Use the upper arms or armpits to lift the child.
  • If the youngster is given a cast, remember that it should never get wet.
    • When giving the child a bath, cover the cast with a plastic bag and secure the top with tape or a loose rubber band. Remove the plastic bag as soon as the youngster gets out of the water.
    • If the cast gets really wet and soft, call your doctor right away. Sometimes the wet part of a cast can be dried with a hair dryer set on low.

Call Your Doctor If...

  • The child still refuses to use the arm 6 hours after it is put back into place.
  • The child still has pain after 24 hours.
  • The child's fingers get numb and tingly.
  • The child's elbow comes out of the socket again.

Return to top





HONcode logo
We comply with the HONcode standard for health trust worthy information: verify here.
More info from:

HealthCentral.com's
Chronic Pain Site


Most Viewed
Top Chronic Pain Drugs

Latest News

  • Alexander technique does help back pain: study
  • Zoledronic Acid Protects Bones of Women Getting Breast Cancer Treatment
  • Marijuana effective for HIV-associated nerve pain
  • Low levels of vitamin D boost hip fracture risk
  • Pack Safety Should Be on Back-to-School Lists
  • Learn More


    Poll
    Which of these drugs are you taking?


    More info from

    HealthCentral.com's
    Chronic Pain Site




    View all conditions
    PR Newswire
    advertisement