1
Question: Nursemaid’s
(Click the link to comment and to vote – voting not working through email, sorry!)
Your source for all things Pediatric Emergency Medicine
(Click the link to comment and to vote – voting not working through email, sorry!)
Kelly May 29, 2019 - 12:54 am
C) When there is not history of a typical causative mechanism, radiography should be performed prior to reduction attempts
If the age of the child is typical, the child is holding the arm adducted, slightly flexed, slightly internally rotated, and refuses to use it, and there are no historical or physical exam factors raising suspicion for other injury (eg significant traumatic mechanism, swelling, deformity, bony point tenderness), then an attempt at reduction without radiography is warranted. The condition is common enough and the clinical presentation is typical enough. The rest of the answers are all true.