TY - CHAP M1 - Book, Section TI - Nursemaid’s Elbow (Radial Head Subluxation) A1 - Shah, Ashish A1 - Sobolewski, Brad A1 - Mittiga, Matthew R. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Nursemaid’s elbow is a condition that occurs commonly in children younger than 6 years of age who are usually picked up or pulled by the extended, pronated arm. The peak incidence is 2 to 3 years of age. These children present unwilling to supinate or pronate the hand on the affected side. Generally they hold the affected arm close to their side in a passive pronation with partial flexion at the elbow. Radiographic studies should be considered only in patients with an unusual mechanism of injury, with significant bony tenderness, or who do not become rapidly asymptomatic after the reduction maneuver. The differential diagnosis includes radial head fracture or complete dislocation, posterior elbow dislocation, condylar and supracondylar fractures of the distal humerus, or buckle fracture of the radius or ulna. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181044646 ER -