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Nursemaid's elbow

Also called: Nursemaid's elbow, pulled elbow, radial head subluxation

A partly slipped elbow in a young child, usually after being lifted, swung, or pulled by the hand. The child stops using the arm. A clinician can usually pop it back in seconds.

AgeMostly 1 to 4 years
SignHolds arm still, bent slightly
FixA quick move by a clinician

Overview

A ligament slips over the end of a forearm bone.

There's usually little swelling. Children often use the arm again within minutes after it's fixed.

Symptoms

Common signs:

  • Child won't use an arm after a pull
  • Child won't use or move an arm

Less common

  • Crying when the arm moves

Look up a symptom: Child won't use or move an arm

When to get medical care

Call 911Bone poking through the skin, or a cold, pale hand.
Get care todayA child who won't use the arm, especially after a fall.
See a doctor soonAn arm that still isn't used normally a day after it was put back.

Causes

Pulling on a young child's hand or arm.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Ages 1 to 4
  • Past nursemaid's elbow

Possible complications

Diagnosis

A clinician examines the arm.

Questions you may be asked

  • How it happened

The exam

Checking for swelling or tenderness.

Tests

Tests, if needed:

  • X-ray: If a fall or swelling suggests a break.

Treatment

Don't try to fix it yourself.

Self-care

  • Keep the arm comfortable
  • Get it checked the same day

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
PainDose by weight.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To prevent it:

  • Lift children under the arms
  • Don't swing them by the hands

Which doctor treats this

  • Start with your child's pediatrician.
  • They may send you to a pediatric specialist: an orthopedist (bone and joint doctor).

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Heals fully once put back.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • How do we prevent it?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Nursemaid's elbow

Sources

Last updated 2026-11-12.