Clinical diagnosis
Patients with classic story (toddler 1-3 years old, low energy mechanism) and findings (no bruising/swelling, no point tenderness, arm held adducted/pronated) do not require imaging before reduction
Any child with an unclear story or unsuccessful reduction should undergo imaging to rule other pathology
Assess neurovascular status prior to (and following) reduction
Patients with classic story (toddler 1-3 years old, low energy mechanism) and findings (no bruising/swelling, no point tenderness, arm held adducted/pronated) do not require imaging before reduction
Any child with an unclear story or unsuccessful reduction should undergo imaging to rule other pathology
Nursemaid's elbow
Distal humerus fracture
Drummer's wrist
Radial head fracture
Trench foot
Essex-Lopresti fracture
Boutonniere deformity
Capitellum fracture