Radial head subluxation: when to get help

1. 1

   Is any of this happening now?

   Call 911

   Go to an emergency department promptly if there is an obvious deformity, an open wound, severe swelling, or severe pain after a significant injury.

   Call emergency services if the hand becomes cold, pale, or blue, or if the child cannot move or feel the fingers normally.

   These are not typical signs of radial head subluxation and may mean blood flow or nerves are affected.

   And for anyone, someone who:

   • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
   • has had a seizure that will not stop, or does not wake up afterwards
   Other emergency signs, for anyone

   • Someone who is struggling to breathe, gasping, choking, or cannot get words out
   • Someone who has chest pain, tightness or pressure lasting more than a few minutes
   • Someone who is unconscious, or cannot be woken
   • Someone who is bleeding heavily and it will not stop with firm pressure
   • Someone who has lips or skin that look pale, blue, grey or blotchy
   • Someone who you believe has taken an overdose or swallowed something poisonous
   Yes, one of theseNo, none of these
2. 2

   Is any of this happening?

   Be seen today

   Seek same-day medical care if a young child suddenly stops using an arm, even if there is no swelling and the suspected pull seemed minor.

   Prompt examination can confirm whether repositioning is appropriate and check for other injuries.

   Get urgent medical advice if:

   • The child still will not use the arm after treatment
   • Pain, swelling, or bruising is increasing
   • The elbow becomes red, hot, or swollen
   • The child has a fever or appears unwell
   • Symptoms followed a fall or direct blow
   • Similar episodes keep happening or occur in an older child

   And for anyone, someone who:

   • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
   • is vomiting and cannot keep fluids down
   • has a new severe headache unlike any they have had before
   Yes, one of theseNo, none of these

Every sign above is quoted from the sofidex article on Radial head subluxation. If you are not sure, err upward — it is always reasonable to be checked.