Inclusion Criteria:  isolated supracondylar humerus fracture undergoing closed reduction with percutaneous pinning (CRPP)  Exclusion Criteria:  Allergies to acetaminophen, ibuprofen, and/or acetaminophen-HYDROcodone Liver or renal disease history of bleeding disorder medical diagnosis of juvenile arthritis on chronic NSAIDs or Opioids PRIOR to the procedure medical diagnosis of coagulopathies, open fractures, other injuries at time of diagnosis (multi-system trauma) vascular compromise and/or compartment syndrome upon admission