| INJURY SITE | TYPICAL MECHANISM | PITFALLS/COMPLICATIONS | ED/ MIU/ UCC TREATMENT | FOLLOW-UP | 
|---|
| Dislocation | Heavy fall on outstretched hand. Usually posterior | Vascular & nerve injury possible. | Reduction in ED with procedural sedation as required. X-ray before and after. Above elbow POP at 90o or C&C if adequate pain relief and stability | Fracture clinic | 
| Effusion without obvious bony injury on XR | Various | Missed #.Usually radial head # in adults or supracondylar # in children | C&C or POP if required for comfort | If clinical examination suggests an underlying radial head # then discharge with patient info leaflet If a supracondylar # suspected then refer to Fracture clinic | 
| Pulled elbow | Traction injury in
toddler but may occur in babies | A clinical diagnosis – X-Rays usually not required | Manipulate once
adequately. If unsuccessful C&C. | None if successfully reduced.
If unsuccessful then advise GP review within 48hrs |