Radial head subluxation

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Pathophysiology

Transverse tear in annular ligament with entrapment of annular ligament between radial head and capitellum

Diagnosis/Presentation

-Age 1y-5y (peak 2y-3y) d/t swinging pt by arm

-Sudden onset

-Absence of edema, focal tenderness, or bruising

-ANY swelling/bruising NOT typical so XR!


Treatment

-Pronation alone (93% successful)

-Extend elbow then quickly supinate & flex (84%)

  • if back in child will move arm again in <30 min