What is the appropriate management for a nursemaid elbow injury?

Management of a nursemaid's elbow, which is a common injury in young children caused by a sudden pull on the arm, involves a specific reduction method to restore the proper anatomical position of the elbow joint. The correct technique entails applying pressure to the radial head, followed by flexing and supinating the elbow. This maneuver effectively allows the radial head to slip back into its proper position within the annular ligament.

When a nursemaid's elbow occurs, the radial head becomes displaced, and the child typically exhibits pain and reluctance to use the arm. The method of applying pressure while flexing and supinating helps pop the dislocated radial head back into place, resulting in immediate relief and restoration of function.

Other management options for such an injury, such as immobilizing the elbow with a splint or applying ice and rest, are not appropriate as they do not address the underlying dislocation. Similarly, performing surgery to realign the joint is unnecessary and invasive for this condition since the injury can be easily managed through a simple manual reduction technique.