Dr. Thomason demonstrates how to manipulate an adducted ulna lesion. For this technique, it is most useful for a patient that lacks a lateral-to-medial glide of the proximal ulna against the humerus. Because of this specific loss of motion, the patient usually will present with limited pronation and a decreased carry angle of the elbow. As with any manipulation, safety is a priority. For this technique, pre-manipulative hold is important to make sure no undue stress is placed throughout the upper quadrant.