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