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PEDIATRICS Vol. 110 No. 1 July 2002, pp. 171-174

EXPERIENCE AND REASON

Recurrent Nursemaid’s Elbow (Annular Ligament Displacement) Treatment Via Telephone

Robert E. Kaplan, MD* and Kathleen A. Lillis, MD{ddagger}

* Department of Pediatrics, Division of Ambulatory
Pediatrics
{ddagger} Department of Pediatrics and Emergency Medicine, Division of Pediatric Emergency Medicine
SUNY at Buffalo School of Medicine and Biomedical
Sciences
Children’s Hospital of Buffalo
Buffalo, New York 14209

Annular ligament displacement (ALD)— also termed radial head subluxation, nursemaid’s elbow, or pulled elbow—can be successfully diagnosed and treated over the telephone by properly trained medical professionals instructing nonmedical caretakers. Two case reports of successful ALD reduction via telephone are described. The pathology of ALD and techniques for its treatment are reviewed, and guidelines are given. The rationale for the introduction of the new term annular ligament displacement as well as areas for additional investigation are discussed. To our knowledge, this is the first published account of ALD reduction via telephone.

Key Words: annular ligament displacement • nursemaid’s elbow • pulled elbow • radial head subluxation

Abbreviations: ALD, annular ligament displacement • ED, emergency department

Received for publication Sep 6, 2001; Accepted Feb 15, 2002.


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eLetters:

Read all eLetters

Parental treatment of nursemaid's elbow with telephone advice
Leonard Levy
Pediatrics Online, 4 Jul 2002 [Full text]
Recurrent Nursemaid's Elbow Treatment Via Telephone
Kathleen A Lillis, et al.
Pediatrics Online, 9 Jul 2002 [Full text]