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

Clinical Researcher at TEREM Emergency Services
Share this !