Reduction of Radial Head Dislocation Periprocedural Care

Updated: Aug 02, 2017
  • Author: Gretchen S Lent, MD; Chief Editor: Erik D Schraga, MD  more...
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Periprocedural Care

Equipment

Splinting supplies are needed following reduction. If procedural sedation is used, the standard monitoring equipment is necessary.

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Patient Preparation

Anesthesia

Reduction is optimally performed on a relaxed and comfortable patient by using one of the following methods:

Positioning

For most reduction techniques, the patient may sit upright or lie supine. Bado suggested that reduction be performed in the opposite direction from the direction of the external force at the time of injury and that the forearm be immobilized in this position. [27]

Most injuries occur in a pronated position; therefore, after reduction, splint the forearm in the supinated position with 90° elbow flexion.

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