Volume 1, Case
19
Swollen Elbow with a Normal X-Ray
Radiology Cases in Pediatric Emergency Medicine
Volume 1, Case 19
Loren G. Yamamoto, MD, MPH
An 8 year old male presents
to the ED complaining of pain in his left elbow after falling off a 2
meter high wall onto his hand and arm.
Exam: The left elbow is obviously
swollen. He is reluctant to move it due to pain. He points to the lateral
region of his elbow as the area of greatest pain. Tenderness to the medial
elbow is mild. Palpation of the mid and upper humerus is non-tender. Palpation
of the mid and distal forearm is non-tender. His clavicle is non-tender.
His wrist is non-tender including the radial and ulnar epiphyses. The
carpal bones are non-tender and his hand function is good. AP and lateral
radiographs of the elbow are obtained.
View elbow radiographs.
X-Ray
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What is your Diagnosis?
Case
19 Answers
Loren Yamamoto,
MD, MPH Associate Professor of Pediatrics University of Hawaii John A.
Burns School of Medicine loreny@hawaii.edu