Nursemaid’s Elbow in Children

What is nursemaid’s elbow in children?

Nursemaid’s elbow is a type of elbow injury. It’s when a forearm bone (radius) slips out of place from where it normally attaches to the elbow joint.

It is a common condition in children younger than age 4. It is also called pulled elbow, slipped elbow, and toddler elbow.

What causes nursemaid’s elbow in a child?

A sudden pulling on the hand or forearm can cause nursemaid’s elbow. The radius slips out of the ligament that holds it in place. It can happen when a child rolls over. It can also happen from a fall, arm twisting, or from pulling or swinging a young child by the hand.

What are the symptoms of nursemaid’s elbow in a child?

Each child may feel symptoms a bit differently. But below are the most common symptoms of nursemaid’s elbow:

  • Immediate pain in the injured arm
  • The child won’t or can’t move the injured arm
  • Anxiety

These symptoms may seem like other health problems. Make sure your child sees their healthcare provider for a diagnosis.

How is nursemaid’s elbow diagnosed in a child?

Your child’s healthcare provider makes the diagnosis by getting your child's health history and doing a physical exam. They may also order an X-ray to check for other injuries, such as a broken bone.

How is nursemaid’s elbow treated in a child?

Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.

Prompt medical treatment is important to quickly ease your child’s symptoms. Treatment may include:

  • Reduction. Your child’s healthcare provider can gently move the arm so the radius bone goes back into place.
  • Medicine. Certain medicines such as acetaminophen can help ease pain.

How can I help prevent nursemaid’s elbow in my child?

Once the elbow has sustained this type of injury, it is more likely to happen again. If it does, call your child’s healthcare provider or return to the emergency room for further evaluation and treatment. Most children outgrow the tendency for nursemaid’s elbow by age 5.

To help prevent nursemaid’s elbow:

  • Don’t pull or swing your child by the arms or hands.
  • Don’t lift your child up by his or her arms or hands.

Online Medical Reviewer: Thomas N Joseph MD

Online Medical Reviewer: Kenny Turley PA-C

Online Medical Reviewer: L Renee Watson MSN RN

Date Last Reviewed: 3/1/2019

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