nursemaid's elbow

Once upon a time there was a little boy who got into trouble, but didn't want to go to time out.  His mom pulled hard on his arm to get him to stand and put him in time out. The little boy cried a lot, and wouldn't move his arm.  He kept crying and crying until his mom took him to Instacare where they determined he had nursemaid's elbow (the bone slid out of the joint).  They did a painful lift and twist, and he was back to new!  And the mom felt horrible. Really horrible.  The end.

I was able to take pics of us which distracted him.  I really feel so bad, but the Doctor was very kind and said they see these a lot.