Video Explanation: Nursemaid's Elbow – What Parents Need to Know

Nursemaid's elbow (or radial head subluxation, also called "pulled elbow") is a very common injury in young children. It occurs when the head of the radius (the outer forearm bone) partially slips out of the ligament holding it in place. **How it happens:** Typically when an adult lifts or pulls the child by the hand or wrist with the elbow extended. It can also happen during play or falling with an outstretched arm. Great force isn't needed: in young children ligaments are very lax. **Who it affects:** Most common between 1 and 4 years, with peak around 2-3 years. After age 5 it becomes rare because ligaments strengthen. It's slightly more common in females. **How to recognize it:** After the episode, the child: - Keeps the arm still along the body, slightly flexed - Refuses to use the hand (doesn't grab objects, doesn't point) - Cries if someone tries to move the elbow or forearm - Has no swelling or visible deformity **The reduction maneuver:** An experienced doctor can reposition the bone with a simple maneuver lasting a few seconds. A "click" is often heard and the child resumes using the arm within minutes. **Prevention:** Never lift or pull the child by hands/wrists. Always lift from under the armpits or holding the body. Also be careful with games involving arm rotation.