Mohd Miswan M F, Othman M S, Muhamad Effendi F, Ibrahim M I, Rozali K N
MD (UKM), MS Ortho (UM) Universiti Teknologi MARA, Sungai Buloh Campus, Selangor E-mail:
MBBS (London) Hospital Sungai Buloh, Sungai Buloh, Selangor.
Malays Fam Physician. 2017 Apr 30;12(1):26-28. eCollection 2017.
Nursemaid's elbow is a radial head subluxation caused by axial traction on the extended arm while the forearm is pronated, allowing for slippage of the radial head. A 2-year-old boy presented with pain, swelling and reduced range of movement of the right elbow for 4 days. The mother noted that the child was moving the right upper limb less often and there was tenderness over the right elbow. X-ray of the right elbow showed subluxation of the elbow joint with no obvious fracture. A trial of conservative management was decided upon and the patient was placed on a right elbow backslab with the right forearm in a supine position. On follow-up, there was no swelling, tenderness or neurological deficit noted. A repeate x-ray revealed normal findings.
保姆肘是一种桡骨头半脱位，是由于前臂旋前时对伸直的手臂施加轴向牵引力，导致桡骨头滑动所致。一名2岁男孩因右肘疼痛、肿胀及活动范围受限4天前来就诊。母亲注意到孩子右上肢活动减少，右肘有压痛。右肘X线显示肘关节半脱位，无明显骨折。决定进行保守治疗试验，患者右肘用后托板固定，右前臂处于仰卧位。随访时，未发现肿胀、压痛或神经功能缺损。再次X线检查结果正常。
