Indications for Nursemaid Elbow Reduction Radial head subluxation Contraindications to Nursemaid Elbow Reduction Distal neurovascular compromise, which indicates a more severe injury than radial head subluxation Physical signs of injury (deformity, swelling, bruising, pain, and tenderness) beyond the radial head area, unless findings are mild and significant injury has been ruled out Evidence of infection Complications of Nursemaid Elbow Reduction Further damage, if the injury is more extensive than radial head subluxation and is not recognized Equipment for Nursemaid Elbow Reduction None Additional Considerations for Nursemaid Elbow Reduction Pre-procedure x-rays are not needed if clinical evaluation indicates a simple radial head subluxation.