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Pulled elbow
"Pulled elbow"
This mainly occurs in young children by pulling on the child's arm. There is a caudal, longitudinal displacement of the radius.
The patient has sudden pain and limitation of movement (he supports his elbow in 90° flexion and pronation).
On examining we see that the P extension is about 20° limited, with a softer end-feel. The wrist X-ray clearly shows the displacement.
This can be reduced manually.
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