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    EmergenciesIllustrated guide

    A child not using an arm: possible pulled elbow

    Three illustrated messages on a child not using an arm, assessment and avoiding traction. It does not demonstrate reduction manoeuvres.

    A toddler keeping an unused arm close to the body, observed by the mother and doctor.

    The child protects an arm

    Pulled elbow is one possibility, even without a remembered pull. Not every unused arm has this diagnosis.

    A child on the father's lap during assessment of the arm; the doctor is not performing a reduction manoeuvre.

    Seek assessment

    Do not try to put the elbow back yourself. A clinician checks for other injuries and decides on treatment.

    A mother lifting her child with support under the armpits and around the trunk, without pulling the hands or wrists.

    Avoid pulling the arms

    Do not lift or swing a child by the hands or wrists. Support the trunk and under the armpits.

    Illustrations and general information for families. They do not replace an individual medical assessment or instructions from the treating team.

    Dr Daniele Priano — Paediatric orthopaedics

    Read the complete condition information →

    Sources

    Need a specialist evaluation?

    Book an appointment at Istituto Gaetano Pini or CTO Milan.