Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right arm pain and refusal to use the right upper extremity following a longitudinal traction event (pulling/swinging). No history of direct trauma, fall, or deformity. Patient is currently holding the right arm in a pronated and slightly flexed position. No reported fever or systemic symptoms.
Clinical Examination Findings
Right upper extremity: No visible swelling, ecchymosis, or deformity. Tenderness noted over the radial head; no tenderness over the distal radius, ulna, or clavicle. Neurovascular status intact: distal pulses palpable, capillary refill <2 seconds, sensation intact to light touch, and no motor deficits in the hand. Range of motion limited by pain, specifically with supination and flexion.
Treatment Protocol
Radial head subluxation reduced via hyperpronation technique. Audible/palpable click noted during reduction. Post-reduction assessment: Patient began using the right arm for reaching and grasping within 10 minutes. No immobilization required. Follow-up as needed if symptoms recur.