Radial head subluxation

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Radial head subluxation is a prevalent childhood injury characterized by partial dislocation of the elbow where the radius is pulled out from its normal position.

The injury can occur if a child is swung by his/her arms, pulling the arms with excessive force or engaging in activities involving such movements. A child with the injury can experience intense pain and could not move the affected arm or shoulder.

The injury is common among children between the ages of 6 months to 7 years old. Both boys and girls can be affected but the incident rate is higher among girls.

Risk factors

The potential risk factors for a radial head subluxation might include:

  • Pulling or swinging a child by his/her arms or hands
  • Physical abuse
    Radial head subluxation
    Conservative measures that are used are aimed on dealing with the pain and inflammation.

What are the indications?

The usual signs and symptoms of a radial head subluxation tend to vary and might include the following:

  • Arm or shoulder pain during movement
  • The child might hold the affected arm by their side and refuse to move it
  • Limited joint movement
  • Swollen arm

Management of radial head subluxation

If a child is suspected of radial head subluxation, the treatment options include the following:

  • Reduction – involves placing the bones back into place within the joint. A popping sound can be heard if the radius is restored back in place.
  • In case subluxation occurs repeatedly even as a child gets older, the doctor might suggest surgical measures to tighten the annular ligament
  • Conservative measures that are used are aimed on dealing with the pain and inflammation

Quick Note / Disclaimer

The material posted on this page on a radial head subluxation is for learning and educational purposes only. To learn to recognize the signs of the injury, register for a first aid and CPR course with Saskatoon First Aid.

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