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Pulled Elbow in Children, Nursemaid's Elbow

Nursemaid's Elbow Pulled elbow, also known as nursemaid's elbow, occurs when the arm is pulled by longitudinal traction with the forearm in pronation (Figure 1). The annular ligament is torn at its insertion into the radius (Figure 2). The head of the radius moves distally. When traction is released, the annular ligament becomes trapped into the elbow joint. This is a very common condition that occurs in children by an adult tugging or pulling the child along by the wrist.
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