Before treatment discuss the following information with the patient/parents/caretakers:
Consider if the planned closed reduction is likely to be the definitive fracture management. If there is a high likelihood of internal fixation it may be better to start the procedure in an operating room instead of an emergency department.
Personnel need to know and confirm:
Position the patient supine and optionally place the forearm in finger traps.
If necessary, apply a strap with weight over the middle third of the humerus to provide additional traction.
If tubular bandage is to be used, position it before applying finger traps and traction.
If available use a mini-C-arm in a horizontal position which can be rotated to take orthogonal views without moving the arm.