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The head of the head bone is anatomically located at the elbow joint and is surrounded by an annular ligament. This ligament is strengthened around the fifth year of life, so children under five years of age can dive into the head of the spine due to the freedom of the ligament, that is, to jump out of place.
It usually occurs by pulling the hand slightly behind the hand and manifests itself in a vaguely localized hand pain, forced position of the hand, that is, children hold the hand close to the body, do not want to move it, raise it. Usually this occurs in children under the age of 5, about 80 percent. all patients are between 1 and 3 years old, and in most studies, girls are ahead of boys.
Stretching, twisting or falling of the arm is the cause of the immersion of the head of the spine. A common cause of injury is approximately 40 to 50 percent. It is when the child falls and the parents grab him by the hands and pose. Other slightly rarer mechanisms of injury are simply swinging with the hands, playing, or falling on the elbow. Boys generally dive into swinging or lifting by hand, wrestling and girls by pulling by hand, falling or preparing. Occasionally, sciatica also occurs in babies under 6 months, the most common cause for babies is when they are in bed and squeeze their hand with their whole body.
A history of spinal immersion is sufficient to diagnose when there is a clear mechanism of trauma, and then recovery is quite fast, that is why orthopedists like this pathology, because in most cases the effect is very fast and after 5-10 minutes the child uses his hand and forgets that something was.
If there is no swelling, obvious pain, deformity, or other symptoms suggesting a fracture, a radiological examination is not necessary.
Successful restoration from first-time immersion is described by more than 90 percent. children, but some children need several times to rebuild, and 4% symptoms persist in children after recovery. Then an X-ray is usually done to assess whether a fracture really exists and if the diagnosis of a fracture is ruled out, a straight arm position, cold, ibuprofen is recommended in case of pain.
After a successful treatment due to the immersion of the head of the scalp, it remains for the parents to recommend not lifting the children by the hands, not swinging them, and if you want to lift it is best to do it by taking the armpits. There are no restrictions, there is no need for immobilization and new consultation.
Parents sometimes ask whether it is possible to rebuild the dive at home, it is definitely not prohibited and when it happens sometimes parents have learned to rebuild, but it is necessary to assess the situation, the symptoms to rule out a fracture, otherwise you can not only cause a lot of pain. Although the restoration of a spinal head dip is quick, it can be painful and I would recommend that a doctor perform it, as after such maneuvers the child may remain angry with her father, mother or grandmother for a long time.
The main message remains that it is not necessary to lift small children by the hand, and if this happens and you suspect that the child is not moving the hand due to the immersion of the head of the spine, do not delay and go to the compartment of reception-emergency pillows.
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