Assistant places hands under knee and distal thigh to pull counter traction
Hold dorsum of mid foot with one hand and heel with other hand. Pull longidtudinally then anteriorly
If no assistant, have patient hang leg over edge of stretcher
As above, but dorsiflex foot first to disengage talus
Then axial traction while assistant is holding traction on tibia
Finally push foot posteriorly while assistant adds pulls anteriorly
Plantar flex foot then apply traction with assistant holding counter traction
Check pulses after any attempts. If not palpable, consult ortho emergently
Document pulse/motor/sensory exam before and after any attempts at reduction
Splint in posterior as well as sugar tong splint with foot in 90 degree flexion
Flex hip and knee to 90 degrees to relax gastroc/soleus
Document pulse/motor/sensory exam before and after any attempts at reduction
Flex hip and knee to 90 degrees to relax gastroc/soleus
Ankle dislocation
Subtalar dislocation
Elbow dislocation
Ankle sprain
Humerus fracture
Patella fracture
Ankle syndesmosis injury
Ankle fracture