Radial head subluxation in children: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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ICD-10 code
S53.0. Dislocation of the head of the radius.
Epidemiology of subluxation of the head of the radius
Subluxation of the head of the radius is most often seen in children aged 1 to 4 years.
In this period, children often fall, and accompanying adults, trying to prevent falling, pull the child for his straightened arm. The trajectory along the axis is complemented by the rotation of the forearm and shoulder. The head of the radius is slightly displaced anteriorly. The subluxation is held by the joint capsule and the ring-shaped ligament.
[Symptoms of subluxation of the head of the radius
The child cries, complains of pain in the forearm. Functions of the elbow joint are broken, the forearm is penetrated.
Diagnosis of subluxation of the head of the radius
Examination and physical examination
At palpation, a slight swelling is detected along the anterior and outer surfaces of the elbow joint; Active and passive flexion is not possible due to severe pain.
Laboratory and instrumental research
On the X-ray of the elbow joint in two projections, pathologies are not detected.
Treatment of subluxation of the head of the radius
Treatment of subluxation of the head of the radial bone is achieved by traction of the forearm along the axis, its supination, pressure on the head of the radius and bending at the elbow joint.
After manipulation, the arm for 3-5 days is suspended on a kerchief.