The reduction, including rotational correction, is verified on a lateral view taken by externally rotating the whole arm as a unit.
Often, the reduction will need to be repeated if the distal fragment remains posterior. Numerous attempts at reduction are inadvisable and the surgeon must exercise judgment and decide when to abandon closed manipulative reduction and opt for an alternative solution (open reduction, traction, external fixation, or acceptance of some residual deformity).
Small refinements to the reduction may be undertaken, until satisfactory images are obtained.
Anatomical closed reduction is often obtained, although somewhat less likely in 13-M/3.1 IV fractures.
A minimal amount of medial, or lateral, translation, posterior translation, and/or extension can be accepted, but they make intraosseous pinning more difficult.