Pulled Elbow in Children
Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.
AMBULATORY CARE:
A pulled elbow
is an injury that occurs when one of the elbow bones slips out of its normal place. It is also called a nursemaid's elbow. The bones of the elbow are held together and supported by ligaments. In children, these ligaments may still be weak. A forceful stretching of the elbow causes the radius to slip out of the ligament that supports it. This causes the ligament to slide over the tip of the bone and get trapped inside the joint. A pulled elbow is the most common injury of the upper limb in children younger than 6 years.
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Signs and symptoms of a pulled elbow:
Your child will have pain in the injured elbow and may cry right after the arm was pulled. The arm is usually kept slightly bent with the forearm facing down. Your child may have a hard time moving his or her elbow or arm, or refuse to use it. The elbow may look normal, without swelling or deformity.
Seek care immediately if:
- Your child has increased pain on the affected elbow.
- Your child gets another pulled elbow.
- Your child's arm or hand feels numb and tingly.
- Your child's skin or fingernails become swollen, cold, or turn white or blue.
Call your child's doctor if:
- Your child refuses to move the arm again.
- Your child's pain does not go away or comes back.
- You have questions or concerns about your child's condition or care.
Treatment:
Your child's healthcare provider will release the trapped ligament and return the bone to its normal position. The provider will move your child's arm in different directions. A click may be heard or felt when the bone returns to its place. If treatment fails or was delayed for more than 12 hours, your child may need to wear a splint. A sling may be needed if your child's pulled elbow happens again.
Splint or sling:
Healthcare providers may want your child to limit elbow movement for a time. A sling or splint may be used to support the elbow area and help make your child feel more comfortable. Ask your child's healthcare provider for more information on using a splint or sling.
Prevent another pulled elbow:
- Do not swing your child by the hands, wrists, or forearms.
- Do not pull your child by the hand.
- Do not lift your child by the hand, wrist, or forearm. Hold your child under the arms or around his or her body when you lift him or her.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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