The symptom of subluxation of small head of naogu?

summary

It is one of the common elbow injuries in infants. The age of onset was 1-4 years old, among which 2-3 years old had the highest incidence rate, accounting for 62.5% boys, more girls than the girls, and the left side was more than the right side. When the elbow is straight and the forearm pronation is suddenly pulled longitudinally, it is easy to cause subluxation of radial head. It is common for adults to lead children on the steps and pull their arms. Let's share my experience with you.

The symptom of subluxation of small head of naogu?

1. The disease is mostly caused by indirect violence, such as: children fall down when walking by pulling their wrists with both hands; The wrists of children are pulled by the cuffs when wearing clothes; When rolling on the bed, the body presses the upper limb under the body, forcing the elbow joint to extend excessively and other external forces.

2. They were unwilling to lift the affected limb after injury, and the forearm could not be supinated. 3. The elbow joint is in extension and the forearm is pronated and drooping. 4. There was no swelling or deformity in elbow joint, but there was obvious tenderness in radial head.

The treatment of this disease mainly depends on manipulative reduction. When reduction, there is no anesthesia. First, rotate the forearm back, extend the elbow slightly, press the thumb on the radial head of the elbow, and bend the elbow joint. If necessary, rotate the forearm back and forth to feel the sound of reduction. After reduction, the elbow and forearm can move freely. After reduction, they were suspended with triangular towel for one week. If there is pain or recurrence during the activity, plaster should be used to fix the elbow flexion at 90 degrees for 2 weeks. Attention should be paid not to lift the child's arm to prevent recurrence. After 4-6 years old, the radial head grows up and is not easy to prolapse.

matters needing attention

Although the injury of radial head subluxation is not serious, it also affects the function of elbow joint. Most patients need reduction to be cured. However, generally, the effect is good after treatment, and there is no complication. Some children who do not see the doctor in time may have a longer recovery time, but there is no complication.