Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Elbow subluxationNursemaid’s elbow ++ 832 Dislocation of elbow832.0 Closed dislocation of elbow832.00 Closed dislocation of elbow, unspecified832.01 Closed anterior dislocation of elbow832.02 Closed posterior dislocation of elbow832.03 Closed medial dislocation of elbow832.04 Closed lateral dislocation of elbow832.09 Closed dislocation of elbow, other832.1 Open dislocation of elbow832.10 Open dislocation of elbow, unspecified832.11 Open anterior dislocation of elbow832.12 Open posterior dislocation of elbow832.13 Open medial dislocation of elbow832.14 Open lateral dislocation of elbow832.19 Open dislocation of elbow, other832.2 Nursemaid's elbow ++ S53.016A Anterior dislocation of unspecified radial head, initial encounterS53.116A Anterior dislocation of unspecified ulnohumeral joint, initial encounterS53.146A Lateral dislocation of unspecified ulnohumeral joint, initial encounterS53.136A Medial dislocation of unspecified ulnohumeral joint, initial encounterS53.033A Nursemaid's elbow, unspecified elbow, initial encounterS53.096A Other dislocation of unspecified radial head, initial encounterS53.196A Other dislocation of unspecified ulnohumeral joint, initial encounterS53.026A Posterior dislocation of unspecified radial head, initial encounterS51.009A Unspecified open wound of unspecified elbow, initial encounterS53.006A Unspecified dislocation of unspecified radial head, initial encounterS53.106A Unspecified dislocation of unspecified ulnohumeral joint, initial encounter ++ 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction +++ Description ++ Traumatic injury to the elbowDisplacement of the ulna and radius in a posterior, anterior, or lateral directionMechanism of injury is a forced hyperextension.Typically from fall on outstretched elbowTraumatic unidirectional blow to the elbowForceful twisting of the elbow while in a flexed positionNursemaid’s elbow Subluxation of the radial head +++ Essentials of Diagnosis ++ Injury warrants immediate medical referral for imaging studies, relocation (often under anesthesia), and evaluation of neurovascular structures around the elbow. Traumatic event/mechanism of injury, resulting in obvious deformity, pain, and acute inflammatory responseInjury commonly observed in contact sport athletics, but also in other situations where traumatic blow or fall occurs +++ General Considerations ++ Most common direction is posterior dislocation of ulna and radius.Comprehensive evaluation of all neurovascular structures around the elbow necessary after relocationExamination of all ulnar and lateral collateral ligament branches necessary after relocation to assess for possible injuryPost-reduction radiographs required, and other advanced imaging techniques possible to evaluate for associated fractures or additional soft tissue injuriesHumeroulnar joint is generally stable once reduced but often results in elbow flexion contracture that needs to be managed by rehabilitation provider.“Dislocation” can also refer to isolated radius dislocation.Injury can be result of similar traumaDislocation of radial head is termed “pulled elbow syndrome,” which results in radial head slipping under the annular ligament due to tractional force through the radius.2Fibers of interosseous membrane not aligned to optimally resist distraction force, as they do to compression force +++ Demographics ... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.