Illustrative CasesSuspected Radial Head Subluxation in Infants The Need for Radiologic EvaluationHanes, Lauren MD∗,†; McLaughlin, Robyn MD, FRCPC∗,†,‡; Ornstein, Amy E. MDCM, MSc, FRCPC, FAAP∗,†,‡Author Information From the ∗Faculty of Medicine, Dalhousie University †Department of Pediatrics, IWK Health Centre ‡Suspected Trauma and Abuse Response Team (START), Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada. Disclosure: The authors declare no conflict of interest. Reprints: Lauren Hanes, MD, IWK Health Centre, 5850/5890 University Ave, PO Box 9700, Halifax, Nova Scotia, Canada B3K 6R8 (e-mail: [email protected]). Pediatric Emergency Care: January 2021 - Volume 37 - Issue 1 - p e58-e59 doi: 10.1097/PEC.0000000000001848 Buy Metrics Abstract Radial head subluxation (“pulled elbow” or “nursemaid's elbow”) is a common pediatric condition in children aged 1 to 4 years, although it is an uncommon finding in nonambulatory infants. It is a clinical diagnosis, and further investigations such as x-ray are not routinely done. We present a case series of 2 nonambulatory infants with forearm fractures that were initially diagnosed as radial head subluxation. Current literature supports the use of x-ray in children with atypical or unclear history prior to an attempted pulled elbow reduction. We suggest that this recommendation should be extended to all nonambulatory infants, given the unlikely diagnosis of radial head subluxation, and the necessity for early recognition of injuries that may be indicators of abuse. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.