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The patient is a 10-year-old who presents after experiencing a blow to the right elbow, with resultant pain on extension of the arm.

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: February, 2011

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services