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The AP film is suggestive of a supracondylar fracture.

On the lateral, one sees a straightening of the distal humerus, as well as a discontinuity in the posterior humerus and increased fat pads. This is a stable fracture that required a posterior plaster splint from upper arm to wrist, with ortho- pedic follow-up the next day.

Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.

Clinical Challenge 2: February 2008

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services