Managing a Pulled Elbow in the Clinic

Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 12-14 | Shalin Shah, Mandar Agashe

DOI: 10.13107/jcorth.2022.v07i02.513

Author: Shalin Shah [1], Mandar Agashe [2]

[1] Department of Paediatric Orthopaedics, BJ Wadia Hospital, Mumbai, Maharashtra, India,
[2] Consultant Paediatric Orthopaedic Surgeon, Agashe Hospital, BJ Wadia Hospital and SRCC Children’s Hospital,
Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Raja Ganesh Rayudu,
Dr. D. Y. Patil University-School of Medicine, Navi Mumbai, Maharashtra, India.


Pulled elbow is one of the commonest clinical conditions encountered by the Paediatric orthopaedic surgeon. It is primarily due to axial force applied to a semi-prone forearm which leads to proximal radio-ulnar joint dislocation. Diagnosis is usually clinical and radiographs are rarely needed. Reduction maneuvers include the Traction-supination and traction-hyperpronation method and almost always cause immediate pain relief and return to function.

Keywords: Pulled elbow, Proximal radioulnar joint dislocation, Supination maneuver, Hyper-pronation maneuver.


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How to Cite this article: Shah S, Agashe M. Managing a Pulled Elbow in the Clinic. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):12-14.

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