What is the most likely dx?
a. Spiral fx
b. Green stick fx
c. Compound fx
d. Supracondylar fx
e. Pulled elbow
answer: B
Pulled elbow or Nursemaid's elbow is a common injury of early childhood. It is sometimes referred to as "pulled elbow" because it occurs when a child's elbow is pulled and partially dislocates. The medical term for the injury is "radial head subluxation." It occurs most often in children ages 1 to 4, but can happen any time from birth up to age 6 or 7 years old. Nursemaid's elbow often occurs when a caregiver holds a child's hand or wrist and pulls suddenly on the arm to avoid a dangerous situation or to help the child onto a step or curb. The injury may also occur during play when an older friend or family member swings a child around holding just the arms or hands. Because moving the injured arm may be painful, the primary symptom of nursemaid's elbow is that the child will hold the arm still at his or her side, and refuse to bend the elbow or use the arm.
Supracondylar would have deformity, pain, redness, decreased range of motion
Spiral and Compound are severe fractures
greenstick fracure, common in children, mild presentation
No comments:
Post a Comment