A–D, Reduction of radial head by leverage method and retrograde intramedullary pinning with Kirschner wire. Note slightly bent tip first pointing laterally. After it is placed in radial head, it is rotated 180 degrees along its axis. (Redrawn from Stiefel D, Meuli M, Altermatt S: Fractures of the neck of the radius in children: early experience with intramedullary pinning. J Bone Joint Surg 83B:536, 2001. Copyright British Editorial Society of Bone and Joint Surgery.) SEE TECHNIQUE 36.11.