What are the methods used for reduction of a radial head subluxation?

Updated: Apr 08, 2020
  • Author: Gretchen S Lent, MD; Chief Editor: Erik D Schraga, MD  more...
  • Print
Answer

Radial head subluxation is managed by means of manual reduction. Either of the following two reduction methods may be used:

  • Supination-flexion technique
  • Hyperpronation/forced pronation technique

If one technique fails initially, the other may be attempted.

A 2012 Cochrane review evaluated the literature available for comparison of the two techniques. [17] The reviewers found only four trials, with a total of 379 participants; overall, the methodologic quality was low. Limited evidence from these trials suggested that the hyperpronation method was more effective and less painful.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!