Recurrent Nursemaid's Elbow (Annular Ligament Displacement) Treatment Via Telephone

Annular ligament displacement (ALD)--also termed radial head subluxation, nursemaid's elbow, or pulled elbow--can be successfully diagnosed and treated over the telephone by properly trained medical professionals instructing nonmedical caretakers. Two case reports of successful ALD reduction vi...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2002-07, Vol.110 (1), p.171-174
Main Authors: Kaplan, Robert E, Lillis, Kathleen A
Format: Article
Language:English
Subjects:
Arms
Child, Preschool
Elbow
Elbow injuries
Elbow Joint - injuries
Elbow Joint - physiology
Evaluation
Female
Health Care Costs
Humans
Infant
Injuries
Joint Dislocations - therapy
Ligaments
Ligaments - injuries
Male
Manipulation, Orthopedic - economics
Manipulation, Orthopedic - methods
Pediatrics
Pronation - physiology
Radius - injuries
Recurrence
Remote Consultation - economics
Remote Consultation - methods
Supination - physiology
Telemedicine
Telephone
Treatment Outcome
Wrist Joint - physiology
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Description
Summary:Annular ligament displacement (ALD)--also termed radial head subluxation, nursemaid's elbow, or pulled elbow--can be successfully diagnosed and treated over the telephone by properly trained medical professionals instructing nonmedical caretakers. Two case reports of successful ALD reduction via telephone are described. The pathology of ALD and techniques for its treatment are reviewed, and guidelines are given. The rationale for the introduction of the new term annular ligament displacement as well as areas for additional investigation are discussed. To our knowledge, this is the first published account of ALD reduction via telephone.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.110.1.171