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Elbow extension as a ‘rule-out’ tool for significant injury in children

Report By: Adam Reuben and Beth Newstead, Consultant Emergency Physicians

Search checked by: Gavin Lloyd, Consultant Emergency Physician

Institution: Department of Emergency Medicine, Royal Devon and Exeter Hospital, UK

Three part question

In (children with elbow injuries) does (ability to fully extend the injured limb) exclude the possibility of (significant injury)?

Clinical scenario

A 7-year-old girl presents to the emergency department complaining of pain in her left elbow, having fallen onto her outstretched hand. On examination she can fully extend …

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