The injury won't be obvious because nursemaid's elbow doesn't cause deformity or swelling. An elbow injury – often the result of falling on an outstretched arm – is rare in young children. The most common subluxation in children is of the elbow: Partial dislocations of the elbow ('nursemaid's elbow' or 'pulled elbow') are very common in children aged 1-4 years. A doctor can put your child's elbow back in place. There can be various causes of a dislocated elbow. It doesn't take much force for the injury to happen. 72, 118 In general, however, because the attachments of ligaments and muscles are stronger than the adjacent growth plate, forces exerted about most joints tend to result in epiphyseal injury rather than simple dislocation of the adjacent joint. This can cause pain from the elbow to the hand. The risk is higher once a child begins to ride a bike, roller-skate, and play sports. The incidence of the injury has been estimated at 2.9 events per 100,000 people over the age of 16. INTRODUCTION. A pulled elbow is a result of the lower arm (radius bone) becoming partially dislocated (slipping out) of its normal position at the elbow joint. When the bones of the elbow are forced out of their normal position, it is called a dislocated elbow. Another possibility, if your toddler's elbow looks normal and he doesn't seem to be in pain but refuses to use his arm (he'll likely hold it … He or she will keep the arm in a straight position or with a slight bend in the elbow. A pulled elbow is a common injury among children under the age of five. The elbow is amazingly stable, relying more on bony anatomy configuration for stability rather than ligaments. A dislocated elbow is very common in children, and can easily be caused by the child putting a hand out to break a fall just as easily as someone pulling on their hand, be it caregiver or another child. Your doctor may also recommend physiotherapy. What causes a dislocated elbow? A child with nursemaid's elbow will not want to use the injured arm because moving it is painful. Nursemaid's elbow can happen if you tug or pull on a child's lower arm or hand, especially if the arm is twisted. It is estimated to occur between 3% to 6% of all paediatric elbow injuries 1–4. This is to keep it in position while it heals. How common is a dislocated elbow? Your doctor probably put a splint on your child's elbow. Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY www.dchft.nhs.uk Pulled Elbow (Child) Our examination has revealed that your child has a ‘pulled elbow’. This is not the same thing as a dislocation, but means that one of the bones in the elbow is not lined up because a piece of fibrous tissue Dislocation, isolated and with associated injuries are often seen between 10 and 15 years of age 2. Elbow, dislocation, children, injuries, outcome INTRODUCTION Paediatric traumatic elbow dislocation, is an uncommon injury1. 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