Treatment of Distal Humeral Fractures Early orthopedic consultation For nondisplaced fractures or occult fractures, splinting For displaced fractures, often open reduction with internal fixation (ORIF) For clinically suspected fractures, splinting and close follow-up Displaced supracondylar fractures should be splinted in the position that they are in; they should not be reduced because of the risk of reduction-related median nerve and radial artery injury.