I think I was trying to give a more detailed description of what a child might look like in a picture. Revised version below:
SUBLUXED RADIAL HEAD (aka NURSEMAIDS ELBOW)
A subluxed radial head (aka nursemaids elbow) usually occurs in young children when a child is picked up or pulled by the arm. The forearm will be pronated and the arm will be flexed and close to body. It almost looks like the patient is wearing an invisible cast, and sometimes patient’s are noted to hold the affected elbow with the unaffected hand. Treat with forced supination.
PEARLS: Know that it involves the annular ligament (it slips over the radial head allowing radial head dislocation). Also, it’s fine to look and feel for fractures, but there is NO NEED for imaging if the story fits.
IMAGE: http://bit.ly/o3sMYW
IMAGE: http://bit.ly/p6LkXH