The fourth Come Along Hold is Kata Hiji Tekubi-Shoulder Elbow Wrist.  To begin tori grabs uki’s wrist.  Right grabs right; left grabs left.  On the right side Tori grabs uki’s wrist and pulls arm and elbow directly over his shoulder-blade.  The tori grabs the left arm of the uki and pins it by his side.  It ensures that hand isn’t used to punch or reach for a weapon.  To execute, tori pulls down on wrist causing elbow discomfort.  Apply pressure as needed.  Looking at the uki will cause joint lock to be even more effective.