CPT® Code 24640

Closed treatment of a radial head subluxation in a child, commonly known as nursemaid elbow, involves a non-surgical manipulation technique to correct the dislocation of the radial head. This condition typically arises when the radius, one of the bones in the forearm, slips out of its normal position under the annular ligament, often due to a sudden pull on the child's arm, such as when an adult is holding the child's hand and the child suddenly moves away. The procedure is performed on pediatric patients and is characterized by the need for careful manipulation to restore the radial head to its proper alignment. The manipulation is crucial as it alleviates pain and restores function to the elbow joint. In some cases, radiographs may be necessary to rule out any associated fractures before or after the manipulation. The treatment is generally quick, and once the radial head is successfully repositioned, the child is monitored to ensure that normal arm movement is regained.