II. Signs
- Evaluate Radial Nerve function
III. Management: Manipulative reduction with local anesthetic
- Pitfalls
- Avoid distraction of Fracture fragments
- Patient positioning
- Patient sits on stool, leaning forward
- Support wrist to overcome apprehension
- Elbow should hang free at 90 degrees flexion
- Reduction Technique
- Weight of arm alone may reduce Fracture
- Gentle traction downward at wrist
- Countertraction with a sling around axilla
- Assistant holds axilla sling and thumb
- Confirm end-to-end apposition
- Apply upward pressure on elbow
- Telescoping Humerus indicates apposition not secure
IV. Management: Splint Immobilization
V. Prognosis
- Heals in 8 to 10 weeks
- Heals well with closed reduction (non-operative)
