The patient, an otherwise healthy 10-year-old, fell and suffered a blow to the shoulder. The patient presented with a decreased range of motion.

View the image 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: September, 2011

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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