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Dragging arm: near dislocation of the elbow

  1. A drag arm or a Sunday elbow is most common in toddlers from 1 to 3 years old. It is a near dislocation of the elbow, as a result of a tug of the outstretched arm. A drag arm is very painful for the child. Sometimes an older child or adult has to deal with a dragging arm.

Names dragging lamp

  1. A dragging arm has different names. This is also known as a Sunday afternoon arm or a Sunday elbow. More names are radius head luxation or pulled elbow.

How does a dragging arm arise?

  1. A dragging arm occurs mainly in toddlers between 1 and 3 years old, slightly more often in boys than in girls. It occurs because the stretched arm is pulled too hard. This can happen while playing, picking up, dressing, etc. Even when the toddler is suddenly tugged by his outstretched arm, a dragging arm can occur.

What is a dragging arm?

  1. A dragging arm is a near dislocation of the elbow, especially the head of the radius in the elbow joint. In toddlers this is most common as a result of a tug of the outstretched arm. That is why this is also called a dragging arm. The name Sunday elbow or Sunday afternoon elbow comes from the fact that this often happens at the weekend. In the old days, many children would not go to church on Sundays and would be dragged by their arm.

Treatment

  1. If the child is suddenly crying and holding the arm stiff after being tugged shortly before, do not try to bend the arm. This is very painful for the child. It is best to get medical help. The elbow is put back in place by the doctor using a rapid supination motion.

What is a supination movement?

  1. A supination movement is a rotational movement of the forearm, with the elbow acting as a point of engagement. There are two movements of the forearm: the supination movement: the palm is turned upwards, as if one wants to take money. In the pronation movement the palm is turned downwards, as if to give away money.

The damage

  1. A dragging arm is not directly harmful to the elbow. There may be an increased chance that it will happen again after that. A disruption that has been rectified remains a weak spot. So parents should be careful not to pull the child's arm again.



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