How does closed reduction work?

The clinician checks circulation, sensation, movement, and imaging before treatment. Pain relief or sedation may be provided so muscles relax and the manoeuvre can be performed safely. The clinician guides the bone or joint back toward its normal alignment from outside the skin. A new image, sometimes using C-arm fluoroscopy, can confirm the position. If alignment is acceptable, a splint or fracture cast protects it. If the position cannot be restored or held, an operation may be discussed instead.

Closed reduction may be used for injuries such as a distal radius fracture or an elbow dislocation. The support is often adjusted as swelling changes, and repeat imaging checks whether the alignment remains suitable.

Keep the splint or cast dry and do not insert objects inside it to scratch. Elevate the limb as instructed, move free fingers or toes gently, and take prescribed pain relief. Do not remove the support or bear weight until the treating team says it is safe. Follow-up matters because swelling and muscle forces can change the position after the initial procedure. Physiotherapy may begin later to restore movement and strength.

Return urgently for fingers or toes that become blue, pale, cold, numb, or difficult to move; pain that escalates despite treatment; or swelling that feels increasingly tight. Also seek help if the cast becomes wet, cracked, loose, or painfully tight, or if fever and wound drainage develop.

Ask how the alignment will be checked, how long the splint or cast is expected to stay, when you may use the limb, and which exercises are allowed. Ask what changes mean that the cast needs adjustment and when repeat imaging is planned.