The child should have uninhibited use of the forearm within 30 minutes. If not, reconsider the diagnosis. Alternative diagnoses include clavicular fractures, distal humeral fractures, osteomyelitis, radial head fractures, septic arthritis, and stress fractures. Reevaluate the elbow joint for signs of trauma. Obtain plain radiographs if not done previously. Full recovery may take 24 to 48 hours if the reduction is delayed for more than 8 hours from the time of injury.