My child's dislocated arm still hurts after being relocated

My child's dislocated arm still hurts after being relocated

If a child's arm is dislocated and he still feels pain after reduction treatment, this may be caused by poor reduction. Generally speaking, if the reduction is good, the child will not feel pain. Of course, this may also be related to soft tissue damage or ligament tissue damage during dislocation. You should go to the hospital for an X-ray examination and receive regular treatment in time. If the pain is severe, you should use some painkillers.

My child's dislocated arm still hurts after being relocated

It may be a subluxation of the radial head. If it is truly reduced, they will no longer feel pain and will be able to move their fingers and arms. There may be two situations: first, it is not completely reduced, and second, there may be a fracture. We still need to take an X-ray to see.

Dislocated arm reduction

1. Koch Method

Generally speaking, this method should be performed when the patient's muscles are relaxed. If too much force is used, the humeral neck may be subjected to excessive torsional force and cause fracture. First, the person who reduces the fracture should hold the patient's wrist and bend the elbow to 90 degrees, so that the patient's biceps is in a relaxed state. Then hold the patient's dislocated arm's elbow with your other hand, continue to pull it, slowly extend it outward, and rotate the upper arm outward. When you hear a sound, it means the reduction is successful.

2. Massage

First, let the injured person lie on his back. One assistant uses a sheet to cover the patient's chest and stretch it toward the healthy side. Another assistant uses the sheet to pull it from the patient. Slowly apply force from three sides. The doctor needs to use his hands to push the humeral head outward under the patient's armpit and then reposition it. The other three people also need traction repositioning. Later, while slowly groping, if you hear a sound, it proves that the patient's arm has been repositioned.

What could be the cause of a dislocated arm?

1. Caused by violence

This reason accounts for 30% of all causes of dislocation. Generally, the dislocation is located in the shoulder joint. Most of them are caused by accidentally falling with the arm abducted and externally rotated. Generally, our palm or elbow will land first, so it leads to violent conflict and dislocation. There may also be subclavian dislocation, which is a posterior dislocation. Generally speaking, it is rare, but it is also caused by violence.

2. Leverage

This reason also accounts for 30%. When doing a lot of exercises or labor, it is very easy for the scapula and the fat bone to become dislocated when the upper limbs are raised and externally rotated or pulled outward. Originally, the two together formed a point of lever force, but because the force on the palm is excessively stretched outward, the humeral head moves outward, causing the arm to dislocate.