Patient's question:
Yesterday, the child from Auntie's family, for some unknown reason, was found to have a dislocated radial head. The family was very worried. Could you please ask what are the common clinical manifestations of this condition?Doctor's answer:
Clinical Presentation and Diagnosis: A history of upper traction injury to the child's wrist and hand, pain in the child's elbow joint, limited range of motion, and a semi-flexed and internally rotated forearm. Lateral elbow tenderness should be diagnosed as a radial head subluxation. X-rays often fail to detect changes in the subluxation of the radial head. Reduction can be performed without anesthesia. One hand of the surgeon grasps the child's wrist, while the other hand grasps the elbow. The thumb applies pressure to the radial head. The elbow is bent to 90 degrees. The forearm is gently rotated backward and then internally rotated. Repeat several times. Gently pressing the radial head with the thumb can realign it.