When Hitting Your Funny Bone Isn’t Humerus: A Rare Cause Of Elbow Pain In A Pediatric Patient - Page #1
 

Author: Brayden Stembridge, DO
Co Author #1: Dr. Jeremy Rush, MD
Co Author #2: Dr. Lindsay Stephens, DO
Co Author #3: Dr. Eliot Young, MD
Senior Editor: Christian Fulmer, DO, FAMSSM
Editor: Sophia Wang, DO

Patient Presentation:
A previously healthy 14-year-old male presented with right elbow pain that began one week prior to evaluation.

History:
One month earlier, he had struck his right elbow on an amusement park ride but experienced minimal initial discomfort. The pain gradually worsened and was localized to the anterior aspect of the elbow.

Plain radiographs obtained by his primary care physician demonstrated a periosteal reaction of the distal humerus suggestive of a healing supracondylar fracture. He was referred to orthopedics for further evaluation.
Case Photo #1
Case Photo #2

Physical Exam:
Height: 60.0 in.  Weight: 129.8 lbs.  BMI: 25.3
Inspection/Palpation: Swelling and tenderness over the anterior elbow.
Range of Motion: Limited flexion and extension from 40° to 100°. Full range of motion with supination and pronation
Forearm/Wrist: Non-tender.
Neurovascular Exam: Intact.
Shoulder and wrist: within normal limits.

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

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