2. HISTORY
• USUALLY IN CHILDREN 1-4 YEARS
OLD
• RADIAL HEAD SUBLUXES
• DISTINCT HISTORY OF A ‘PULL’
• ANY Hx OF A FALL CONSIDER
SUPRACONDULAR FRACTURE
3. SIGNS AND SYMPTOMS
• RELUCTANCE TO USE ARM
• WILL NOT STRAIGHTEN
• CLEAR Hx OF A ‘PULL’
• NOT ALWAYS SWOLLEN OR
DEFORMED
• CHECK RADIAL PULSE BEFORE AND
AFTER
7. POST MANIPULATION
• ASSES USE 10 MINS AFTER
• GIVE ANALGESIA PRN
• LOW THRESHOLD TO RETURN IF NOT
USING LIMB
• CHECK RADIAL PULSE
• RE SUBLUXATION IN 30% OF
CHILDREN WITHIN 3 MONTHS