Management of Paediatric Pulled Elbow [v1.0]

Slowey, Joseph; Moriarty, Tadhg

dc.contributor.author	Slowey, Joseph
dc.contributor.author	Moriarty, Tadhg
dc.date.accessioned	2024-08-21T15:56:17Z
dc.date.available	2024-08-21T15:56:17Z
dc.date.issued	2024-06
dc.identifier.citation	Slowey J, Moriarty T. Management of Paediatric Pulled Elbow. IAEM Guidelines 2024. https://iaem.ie/professional/clinical-guidelines/	en_US
dc.identifier.uri	http://hdl.handle.net/10147/642677
dc.description	The “Pulled elbow” (Radial head subluxation) is a common injury suffered by children with a peak prevalence between the ages of 1 and 4. This injury results from a sudden pull on the arm, usually by an adult or taller person, which pulls the radius through the annular ligament, resulting in subluxation (partial dislocation) of the radial head. The child experiences sudden acute pain and loss of function in the affected arm. As the treatment for this condition is easily trainable and rapid to perform, early detection of this condition at triage is important. It can facilitate rapid assessment, management, and discharge of this patient cohort. Early clinical suspicion is important as radiography is unhelpful in making the diagnosis with radiographs mostly appearing normal. There are two main techniques available to the clinician; hyperpronation or the supination/flexion manoeuvre, with the former considered to be more effective and less painful to perform. Following successful reduction, the child should have normal elbow function within 10-20 minutes.	en_US
dc.language.iso	en	en_US
dc.publisher	Irish Association for Emergency Medicine (IAEM)	en_US
dc.relation.ispartofseries	IAEM Clinical Guideline	en_US
dc.rights	Attribution 4.0 International	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	*
dc.subject	Hospitals	en_US
dc.subject	emergency medicine	en_US
dc.subject	HEALTH BEHAVIOUR IN SCHOOL-AGED CHILDREN (HBSC)	en_US
dc.subject	MUSCULOSKELETAL SYSTEM	en_US
dc.title	Management of Paediatric Pulled Elbow [v1.0]	en_US
dc.type	Guideline	en_US
refterms.dateFOA	2024-08-21T15:56:19Z