, Volume 469, Issue 11, pp 3266-3270
Date: 31 Aug 2011

Orthopaedic Case of the Month: Elbow Pain in a 9-year-old Boy

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History and Physical Examination

A 9-year-old right-hand–dominant boy presented to an outside clinic with a 1-week history of right elbow pain. He experienced trauma to the elbow several weeks before but did not believe this was the cause of his current pain. He and his parents denied any significant medical history, allergies, or medications.

On physical examination the patient was afebrile with stable vital signs. His right distal humeral region was swollen and tender to palpation. It was warm but without erythema or induration. His elbow ROM was limited by approximately 15° in terminal flexion and extension. He had no micromotion tenderness at the elbow. Plain films of the elbow were obtained (Fig. 1) and interpreted as an age-indeterminate, nondisplaced fracture of the supracondylar humerus. A long arm cast was placed on his arm and the patient was instructed to return for followup in 1 month for a repeat evaluation.Fig. 1A–B

(A) AP and (B) lateral radiographs show a lytic lesion in t

Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution approved the reporting of this case report and that all investigations were conducted in conformity with ethical principles of research.