A rare atypical case of a pulled elbow in an infant

A pulled elbow is a common type of injury in children aged one to four years, where the forearm is pulled in an extended pronated position. There are a few cases of pulled elbow reported in children under one year old. We experienced an atypical pulled elbow case in a six-month-old girl after her mother rolled her from a right lateral position to a supine position, leaving her arm trapped behind her back. The pulled elbow was suspected based on the classical presentation of pain over the elbow, a less mobilized limb, and a pronated arm position as well as the exclusion of fracture from a plain radiograph. A high index of suspicion of pulled elbow should be kept in infants, despite their age presentation and the absence of an obvious elbow-pulling mechanism.

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