Presentation: A 5-year-old girl presents to the ED with a painful elbow after falling from the monkey bars at school. She did not hit her head and there was no loss of consciousness. She was brought to the ED by a teacher because of left elbow pain and swelling. Exam: Upon presentation to the ED, she prefers to hold her left arm in the extended position with the forearm pronated. She can wiggle all fingers and her thumb without any difficulty, and her distal sensation appears to be intact.
She has a full range of motion about the wrist without any tenderness over the scaphoid bone. The shoulder and clavicle also appear to be contender. The left elbow region reveals a mild degree of swelling without any overlying lacerations or abrasions. The child cries with attempted supination and pronation of the forearm but there does not seem to be much resistance during passive supination or…
