“Doctor, save my granddaughter!” The shout came from outside the clinic, followed by three people, a young woman holding a crying child of about 2 years old, followed closely by the middle-aged woman. After consulting the doctor, I realized that the child had been crying and refusing to let anyone move his elbow. I handed the child a piece of chocolate, and the child tried to reach out for it, but immediately retracted just as he was about to do so. From my experience, I thought the child had “pediatric pulled elbow”. When I asked about the history of the child’s fall, the grandmother had tugged on the child’s arm, which further confirmed my diagnosis. What is Pediatric Pulled Elbow? Pediatric pulling elbow, also known as “pediatric radial tuberosity subluxation”, mostly occurs in children aged 2 to 3 years old, mostly in the state of the child’s unintentional, parents hold the child’s hand diagonally outward pulling the child’s upper limb caused by. The radial-ulnar-superior joint consists of the radial tuberosity and the radial notch of the upper end of the ulna. The annular ligament is in the shape of “C”, which is connected to the two ends of the radial notch of the ulna, and the diameter of the upper and lower parts of the ligament is wide and narrow, which is in the shape of a funnel, and it encircles the radial tuberosity. Due to the imperfect development of pediatric radial tuberosity, coupled with the laxity of the annular ligament, when the forearm is suddenly pulled and rotated, the radial tuberosity moves downward and is easily stuck in the narrowing of the annular ligament, which causes rotational dysfunction and results in subluxation. And because of the special characteristics of pediatric bone quality, elbow fractures are also more common. Now that the pathogenesis of pediatric elbow pulling is clear, how should parents judge when encountering unexpected situations? There are many kinds of elbow fractures, but they all have some common features as follows: 1, history of trauma (e.g., elbow fall, impact, etc.); 2, localized swelling of the elbow joint, with obvious pressure and pain points, which can not be palpated; and 3, limitation of joint movement. If the above features are encountered, imaging studies are needed to clarify the bone condition. On the other hand, if the child is not traumatized, the elbow joint is not swollen and painful, and the elbow joint can be flexed and extended, but the rotation is affected, then we need to consider it as “pulled elbow”. As a parent, you should not panic when encountering this situation, and you should take your child to the doctor in time. Tui na restoration techniques have a very good effect on this disease, generally speaking, this kind of subluxation in the hospital Tui na clinic timely manipulation treatment can have a good aftertaste. Warm tips: 1, daily life pulling the child’s right and wrong practices, grasp the elbow do not pull the wrist. 2, after the manipulation of reset, it is best to use a piece of triangular towel or bandage to fix the affected limb in front of the chest for a week, while avoiding being pulled and dislocated. 3, some children in the reset and no joint popping sound, parents should not be impatient, observe a few minutes, if the overall condition of the child has been significantly improved, the upper limb began to move, it means that the reset is successful. If the reset is not successful, do not worry, you can let the child rest for a while for the second reset. If repeated repositioning is unsuccessful, you can first suspend the affected limb in a sling to reduce the baby’s pain, and then return the next day for another attempt at repositioning. Parents should not be impatient, remember to maintain patience and cooperate with the doctor for treatment!