Causes and risk factors
In nursemaid injury, the radius bone slips from its normal position. This injury is more commonly seen in children as the ligaments which surround and support the joint are still loose hence they become more vulnerable for easy injury, causing dislocation of the bone. Lifting or swinging the child by his hand or wrist or pulling the child by holding his forearm can lead to dislocations. Injury caused due to trauma, fall, or blow on elbow joint is another contributing factor.
Clinical presentation:
Pain is a prominent feature seen. It is a severe type of pain. The pain is aggravated by movement, hence any hand activity or movement is restricted. The child is unable to use the hand and the hand hangs down. There is no swelling or deformity seen. Tenderness is seen on examination.
Investigations:
Diagnosis is done on the basis of the symptoms narrated by the patient and the physical examination carried out by the orthopedic doctor. X-ray is usually done to rule out fractures and detect the dislocation. MRI and CT scan are advised to detect the ligament injury.
Treatment:
Rest and restriction of movement is the first step involved. Analgesic or nonsteroidal anti-inflammatory drugs are advised by the orthopedic doctor. Nonweightbearing cast can be applied. Dislocation of the bones need to be corrected by surgical means Reduction techniques are used. Certain physiotherapy exercises are advised to increase the mobility and strengthen the muscle.
Other Modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the symptoms. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints. Certain yoga exercises can also be helpful in strengthening the muscles.
