see also: [[paediatric elbow]], [[Supracondylar humerus fractures]], [[Neurovascular assessment]], [[Monteggia fracture-dislocation]] see: [[Neurovascular assessment#Upper limb|elbow anatomy]] ![[image 3.jpg]] ![[Pasted image 20250622121124.png]] > [!caption] 1. side-to-side manipulation is used to correct medial or lateral displacement ![[Pasted image 20250622121212.png]] > [!caption] 2. The elbow is then flexed while maintaining longitudinal traction # Complications see: [[Neurovascular assessment#quick upper limb peripheral nerve exam|quick upper limb neuro exam]] - [[Neurovascular assessment#Neurovascular structures and injury risks table|brachial artery]] (8% of cases) - ulnar nerve - median nerve - myositis ossificans (late) -- heterotrophic bone formation ; can result in chronic pain and restriction of movement # Treatment ***Reduce posterior dislocation:*** - distal traction on the wrist with elbow in some flexion with counter traction on the humerus. direct pressure with thumbs over the olecranon process also helpful ***Reduce anterior dislocation:*** - distal traction on the wrist, with backwards pressure on forearm and counter traction on the humerus apply backslab to arm in 90 deg and sling # OSCE - [ACEM 2016.1B station 10](x-devonthink-item://636661DB-689A-4DC1-99CA-A739C3037CF6)