Andrew Howard, Theddy Slongo
This position is unsuitable for closed management of supracondylar fractures, as it is difficult to manipulate the fracture with the patient in a lateral decubitus position.
The patient is positioned in a lateral decubitus position on the uninjured side, as close as possible to the edge of the table, with trunk support front and back.
The contralateral shoulder must be positioned so as to prevent brachial plexus injury.
The injured arm is placed either on a gutter support beneath the upper arm, or over a padded arm roll under the elbow.