Dislocated elbow: A common injury in toddlers
My 3-year-old granddaughter was just treated for her second dislocated elbow in 18 months. In both cases, she injured her elbow during rough play with her older brothers. Should we be concerned that this has happened twice already?
- No name / No state given
Answer
Not necessarily. A dislocated elbow — sometimes referred to as nursemaid's elbow — is a common injury in toddlers and preschoolers. The ligament that holds the larger forearm bone (radius) in the elbow is stretchable (lax) in toddlers, allowing the head of the radius to slip out (dislocate). As this ligament becomes stronger, dislocation becomes less likely.
A dislocated elbow most often occurs when young children are lifted or swung by their hands or forearms, allowing the full weight of the child's body to hang on those outstretched arms. A dislocated elbow may also occur with a fall. Once the elbow dislocates, it is more likely to do so again.
To prevent this injury, always lift young children from under the arms, instead of by the hands or wrists. Also, never swing toddlers by their hands or wrists. You may need to explain this to your granddaughter's older brothers.
Children with repeated elbow dislocations may be referred to a pediatric orthopedic surgeon for further evaluation and to discuss methods for stabilizing the joint.
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