Continued reexamination is essential. Radiography Plain radiographs are essential prior to reduction of the suspected dislocation. Postreduction films should confirm opposition of the joint surfaces and should rule out previously unidentified fractures or entrapment of bony fragments within the joint space. Prehospital personnel should splint the limb in the position found. Because of the risk of neurovascular injury, field reduction is not indicated.
Successful reduction is unlikely without adequate analgesia and sedation.
Patients with neurovascular compromise should be transported rapidly to the closest facility. Early reduction is essential, since delay may increase risk of neurovascular compromise or damage to articular cartilage. The emergency physician should attempt reduction after obtaining appropriate radiologic studies if evidence of vascular compromise is noted or if orthopedic consultation is delayed significantly. The following 2 methods commonly are employed for posterior elbow reductions. Be certain that the patient has received adequate analgesic and sedative medications before beginning either procedure.