What is the recommended technique for reducing a nursemaid's elbow?

What is the recommended technique for reducing a nursemaid's elbow?

• A. Supination with flexion
• B. Pronation with extension
• C. Traction-countertraction with abduction
• D. Hyperextension with internal rotation

Answer: (A)

Reduction of nursemaid's elbow happens when the radial head is out of place under the annular ligament. The recommended technique is to hold the forearm in a supinated position and flex the elbow, applying gentle pressure over the radial head as you guide it back into place. This combination moves the Radius back to align with the capitellum and often yields a quick, dramatic improvement with minimal discomfort. It’s favored because it’s fast, well tolerated in children, and has a high success rate. Other methods, such as traction-based procedures or pronation-based maneuvers, exist but are less preferred due to more pain, longer time to reduction, or lower reliability.

Reduction of nursemaid's elbow happens when the radial head is out of place under the annular ligament. The recommended technique is to hold the forearm in a supinated position and flex the elbow, applying gentle pressure over the radial head as you guide it back into place. This combination moves the Radius back to align with the capitellum and often yields a quick, dramatic improvement with minimal discomfort. It’s favored because it’s fast, well tolerated in children, and has a high success rate. Other methods, such as traction-based procedures or pronation-based maneuvers, exist but are less preferred due to more pain, longer time to reduction, or lower reliability.