Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia – because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should.

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The Unvaccinated Child with Fever – PEM Currents: The Pediatric Emergency Medicine Podcast

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 3–36 months presenting to the ED with fever. Host Brad Sobolewski reviews differences in immune response, risk for serious and invasive bacterial infections, and outlines evaluation strategies including labs, imaging, and empiric antibiotics. He highlights data showing […]
  1. The Unvaccinated Child with Fever
  2. Mycoplasma pneumoniae
  3. Inhalant Misuse: From Glue to Galaxy Gas
  4. ‘Twas the Night Before Christmas (in the Pediatric Emergency Department)
  5. Pertussis

References

Macias CG, Bothner J, Wiebe R. A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics. 1998 Jul;102(1):e10. doi: 10.1542/peds.102.1.e10. PMID: 9651462.

Nardi NM, Schaefer TJ. Nursemaid Elbow. [Updated 2020 Nov 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-.