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Discussion Starter · #1 ·
Hi all,<br>
I am new here and so appreciate the feedback that I have been getting as of yet in other forums. This seemd like the most appropriate place to put this so here goes.<br><br>
So yesterday I was walking my dd to bed holding her hand (she's 25mos) and she tried to yanked herself away from me. I didn't let go of her hand as she yanked thinking she'd go flying and get hurt. Well talk about counterproductive. She started screaming as I heard a pop. When we checked her out she couldn't move her arm, it was all limp. We took her to the doc who tried to put her elbow back into place saying that she had dislocated her radial head. It was so traumatizing for her, all I could do was hold her and kiss her and tell her it was going to be better if we let them try to fix it. No luck there so we took her to emerg. at docs recommendation. The doc there tried the same thing (more trauma and crying from both of us this time) and had no luck, took some xrays (the epitomy of her tears) and saw nothing. Her arm was still limp and hurt like mad to even touch let alone move. He told us that putting a cast on it for a week would allow whatever was going on to heal, stabilize the arm so she didn't scream each time it moved. Once he put it on she was herself again, but the novelty wore off real quick and she wanted it off. Ten days is apparently is how long we have to keep it on.<br><br>
I can't still beleive that my two year old has her arm in a cast! And while we are at my folks place who live 5000 mi. away from home for two weeks. We had to pay the dr. bill out of pocket since we are in a different country (not cheap) and she will have to travel the 14 hr flight back home in a week wearing a cast! Just venting there!<br><br>
So has anyone ever had a lil one in a cast, ever heard of that happening, know of anything to make them more comfortable. Last night we didnt sleep a wink, tossing and turning trying to get comfortable, I felt oh so bad for her. No matter what position she would get into she didn't like it.<br>
We don't use tylenol and I want to get her some kind of pain relief or something to help her sleep a little tonite at bed time. Any suggestions?
 

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man! that sounds rough. can u call your ped., explain what happened and ask about giving tylenol or ibuprofen for the pain?
 

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Discussion Starter · #3 ·
yeah except we don't use tylenol.<br>
I don't give it to her and use homeopathic tmt for everything unless it needs something stronger and then go herbal.<br>
Thanks for the sympathy though...
 

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sending a <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you and your little one mama! wow that is so tough. I hope your DD finds some releif and adjustment soon!<br><br>
have you tried homeopathic arnica?
 

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Discussion Starter · #5 ·
Thanks for the hug, i'll pass that on to her too when she gets up from this nap (yeah sleep!!! Why am I not with her!!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> )<br><br>
yeah we used arnica right off the get go and it helped her to deal with the stress of the whole thing. But didn't seem like the right remedy last night. None of them really did, but I am sure there has got to be one!
 

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this happened to my friend's dd. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> it's not fun for anyone involved.<br><br>
is it just tylenol you don't use or medications in general?
 

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I did some searching and this is apparently fairly common in young children. A cast seems an odd treatment, didn't they get her elbow back into place? DH has had his should dislocated about 8 times and the key always is to get it back into place ASAP. The longer you leave it, swelling arises and it just gets more and more difficult and painful to get back into place. I really hope they didn't leave it dislocated? Usually once it's back in place relief is almost immediate, it shouldn't continue to hurt...<br><br>
Here's one link, you can search for others <a href="http://www.drgreene.com/21_1079.html" target="_blank">http://www.drgreene.com/21_1079.html</a><br><br>
I hope your little girl is okay!
 

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This happened to my dd too. Though our doc was able to get it back in, lickety split. Be warned though, that if it happens once, it frequently happens again. They grow out of it by age 4 or 5 when the bone lengthens too much to become lodged in the little round ligament-type thingy (really scientific explanation, huh?). Sometimes it is painful, and other times it is not. But usually it is easy to put right. It really seems odd that they couldn't get it 'unlodged'. It happened 3 times to my dd, she's 5 now and it hasn't happened in about 2 years. I would make a prompt appt when you return home to have the cast removed and the arm checked, I don't see how a cast would help this situation. But it shouldn't make it worse, either! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Oh yes, it's typically called 'nursemaid's elbow' here, since it usually happens when they fall while holding the hand of their caregiver.<br><br>
Kathy
 

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wanted to add that my friend's daughter was in her cast b/c of a hairline fracture after this happened for the 3rd or so time.
 

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This sounds like nursemaid's elbow, for which the fix is to pop it back into place, NOT put it in a cast. If it's the elbow thing, the cast is going to make it so much worse and so much harder to actually fix...I would really take her to see someone else....I'm not sure this doc knew about nursemaid's elbow...is there a children's hospital anywhere near?
 

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Discussion Starter · #11 ·
So much thanks to all of your responses. Knowing that this is a common occurance doesn't make me feel so guilty about it.<br><br>
As for the cast deal, I wasn't sure of it either. I felt as though it was unnecessary, but they couldn't get it back into place and it was hurting her to be moved so his thought of immobilizing it seemed logical under those pretenses. I am now a bit worried though since if it isn't in place and swells more that we will have a bigger problem. I really don't want her to have to go through anymore of this trauma with trying to set it back.<br><br>
As another note, when he couldnt get it into place he suggested a sprain or perhaps a hairline fracture, as it seemed to be for your friend bobica.<br><br>
So it can apparently be a recurring thing eh? I have done a bit of reading on what the docs here referred to as "pulled elbow" and never found that to be the case.<br><br>
We did find some pain relief in a higher potency arnica, using a 1m and she is sleeping like a bear right now. I think part of it was getting used to having the cast on her arm too and she certainly did tonight, playing with her cousin. She's such a little trooper. Took one day to get her back to her pretty much normal self. Sitting on the toilet one handed, pulling up her pants, eating with her other hand. She's even a lefty and this is her left arm, I'm amazed!!! Kids are such role models for us in certain circumstances!<br><br>
Keep the thoughts rolling in, I am going to do some research of my own on this nursemaid's elbow thing...what a name! Thanks so much all
 

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<a href="http://pedclerk.bsd.uchicago.edu/nursemaidElbow.html" target="_blank">Here's</a> a pretty good explanation of nurmaid's elbow, but it's pretty easy to fix. Basically turn the palm up and flex the elbow. Usually it pops right back in and the dc is fine, pain all gone. Makes me wonder if something else is going on, but then it seems like the doctor would have more information, wouldn't it?<br><br>
I could see putting the arm in a cast or at least a removable splint if there was still a lot of pain after the dislocation was fixed, just to keep it immobile while the ligaments tightened up a bit. You should call and make sure that they did manage to put the joint right, though.
 

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Discussion Starter · #13 ·
Thanks Hera... that was really useful!<br><br>
I am really concerned that since they told me that they didn't get it back in that we are going to have a problem when the cast comes off. But I also wonder if this is infact what she has, or if it is something else. They both tried numerous times to "reduce" the elbow with no success.<br><br>
ARG, I never know whether to trust docs or not...usually I go with not, but the time I did I hope I am not proven wrong!
 

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I want to give you some serious props for sticking with the homeopathy for the pain relief. You are one principled woman, and I salute you. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"><span style="font-size:xx-small;">(I've never used anything but homeopathy for DS's teething or when he knocked out a brand new tooth either, so I'm right there with ya, by the way)</span><br><br>
By the way it's called nursemaid's elbow b/c of the nanny/nursemaid/governess of old pulling the child along on errands or whatever, and pulling the arm too hard.
 

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They actually may have gotten it back in, but if there are small tears to the ligament, it could still hurt. The ligament doesn't always tear, but sometimes it does. And yes, recurrence is COMMON. This happens because the bone is shorter than average, so it can happen repeatedly until the bone lengthens. I warned all caregivers not to EVER hold my dd's left hand, and if they WERE holding it, to let go if she started to fall.
 

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<div style="font-style:italic;">I am really concerned that since they told me that they didn't get it back in that we are going to have a problem when the cast comes off. But I also wonder if this is infact what she has, or if it is something else. They both tried numerous times to "reduce" the elbow with no success.</div>
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That sounds so weird to me. I mean, if it was something else it seems like they would have told you. Maybe since you are travelling they want to make sure that it doesn't dislocate again? I can't imagine a doc leaving a dislocated elbow and just throwing a cast on it. Trying to talk you into anti-inflammatories and muscle relaxers, setting it, and then casting it yes, but just leaving it...no way.<br><br>
I'm sure they set it. I can't imagine that they wouldn't. But you should call them back anyway.
 

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I don't have any info to give on the condition, but I've been there with ds for the cast part. At nine months, ds was with dh in the bedroom. I guess I forgot to tell dh I was no longer putting him on the bed. Dh put him there to change his clothes after work and ds crawled right off the end. He cried, nursed until he passed out and woke up in the morning holding his little hand up when he tried to crawl. Looked like a puppy with a hurt paw. A trip to the doctor confirmed a hairline fracture in his wrist. He wore it for three weeks, and had a new cast for each week because it kept slipping off. I was horrified at having to carry my son out in public with a cast. I just knew everyone thought we were abusing him! It didn't phase him much, though. He just learned how to crawl with it and went on about his business.
 

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Discussion Starter · #18 ·
So last nights sleep was fabulous. Went to my mum's homeopath and she gave me 100m of arnica (a higher potency) we used it and tada, comfort all night long. Only tossed once and got her arm stuck behind her back and I moved it for her...thank goodness for co-sleeping!!!!<br><br>
Thanks for the help with this. I called my doc and he said that he likely would have stuck it in a cast too since it was hurting her so much to move it. He also suggested that there can be ligament damage and that a cast was an easy fix to that. He said that he had never seen an elbow not go into place and they don't always pop so the doc may have done it and not noticed. If it was to swell we would have seen it in her fingers by now, which we don't!<br><br>
It sounds twisted to say but she does look awfully cute in a little purple cast and is rather comfortable with it today!
 
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