Pocus Focus On A Proximal Forearm Injury - Page #1

Author: Johnnie Faircloth, MD
Senior Editor: Joseph Chorley, MD
Editor: Natalie Stork, MD

Patient Presentation:
9 year-old presented to a pediatric sports medicine clinic with upper extremity injury.

A 9 year old female presented 8 days after a trampoline accident with complaints of left proximal forearm pain and disability. While attempting a back flip she landed on the left forearm and immediately felt a pop near the elbow associated with severe pain. She was evaluated in a local emergency department and placed in a sugar tong splint after radiographs of the elbow and forearm were obtained. Today she denies any pain nor neurovascular complaints and can move the proximal shoulder and distal fingers normally. At the time of presentation to the sports medicine clinic the radiographs nor radiology reports were accessible. She is not taking any medication. Past medical history is positive for a left distal radius buckle fracture 6 months prior. A Review of symptoms was negative.

Physical Exam:
Left upper extremity exam revealed no swelling or bruising on inspection. She had pain free range of motion about the shoulder, elbow and wrist. She could supinate and pronate the forearm against resistance and flex and extend the elbow and wrist against resistance. She had a normal motor and sensory exam in the regions of the radial, median and ulnar nerves. She endorsed mild discomfort with moderate palpation of the anterior mid proximal forearm near the radius but did not withdraw nor grimace.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek