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The patient is a 3 ½-year-old girl who fell from a bicycle, receiving a blow to the elbow a short time before presentation. She had marked swelling and local tenderness over the elbow.
The only other remarkable finding was a pulse of 132.
View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Clinical Challenge 2: February 2008
Nahum Kovalski, BSc, MDCM
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