Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left arm pain and refusal to use the left upper extremity following a longitudinal traction event (pulling/swinging) of the hand/forearm. No history of direct trauma, fall, or deformity noted. Patient is holding the left arm in a pronated and slightly flexed position. No reported fever or systemic symptoms.
Clinical Examination Findings
Left upper extremity: No visible swelling, ecchymosis, or deformity. Tenderness noted upon palpation of the radial head. Range of motion is limited by pain; patient refuses active supination and flexion. Neurovascular status: Distal pulses intact, capillary refill <2 seconds, sensation intact to light touch in all distributions, no motor deficits in fingers.
Treatment Protocol
Reduction maneuver performed via hyperpronation technique. Audible/palpable click noted during reduction. Post-reduction: Patient began using the left arm spontaneously within [X] minutes. Full range of motion restored, including supination and flexion. Neurovascular status remains intact post-procedure.