Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of arm pain and refusal to use the affected extremity following a longitudinal traction event (pulling/swinging). No history of direct trauma, falls, or localized swelling. Patient is currently holding the arm in a pronated and slightly flexed position.
Clinical Examination Findings
General appearance: Alert, non-toxic, but guarding the affected extremity. Musculoskeletal: No obvious deformity, erythema, or ecchymosis noted. Palpation of the clavicle, humerus, and wrist is non-tender. Range of motion is limited by pain upon supination and flexion. Neurovascular status: Distal pulses intact, capillary refill <2 seconds, no sensory deficits noted in the radial or ulnar distribution.
Treatment Protocol
Radial head reduction performed via [Hyperpronation technique / Supination-flexion technique]. Successful reduction confirmed by audible/palpable click and immediate return of spontaneous extremity use. Post-reduction: Patient observed for 15 minutes; full range of motion restored without pain.