This can be performed under conscious sedation with a haematoma block or Bier’s block.įollowing reduction, the arm should be restricted to allow for bone healing. Various techniques can be employed, however all involve ensuring sufficient traction and manipulation under anaesthetic. Once stabilised, all displaced fractures require closed reduction in the emergency department. *Ask for an ‘okay’ sign, if the DIPJ of the 2 nd digit and IPJ of thumb extend, this signifies AIN nerve involvementĪs for any trauma case (beyond the scope of this article), suitable resuscitate and stabilisation of the patient is the priority.
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