Article Text

PDF
The answer is not always in black and white: a frequently missed diagnosis in a child presenting with elbow pain
  1. Emer McLoughlin1,
  2. Ben Stanhope2,
  3. Karl Johnson1
  1. 1 Radiology Department, Birmingham Children's Hospital, Birmingham, West Midlands, UK
  2. 2 Emergency Department, Birmingham Children's Hospital, Birmingham, West Midlands, UK
  1. Correspondence to Dr Emer McLoughlin, Radiology Department, Birmingham Children's Hospital, Birmingham, West Midlands, B4 6NH, UK.

Statistics from Altmetric.com

Clinical introduction

A 1-month-old baby was referred to a tertiary paediatric centre from a local hospital with a 2-day history of reduced movement and swelling of the left elbow. There was no history of preceding trauma or relevant obstetric history.

On examination, tenderness and swelling of the left elbow with restriction of movement was noted. There was no evidence of systemic illness or infection.

Left elbow radiographs were performed (figure 1):

Figure 1

AP and lateral radiographs of the left elbow.

Question

What is the diagnosis?

  1. Elbow dislocation

  2. Distal humeral supracondylar fracture

  3. Septic arthritis

  4. Distal humeral transphyseal fracture

Answer: D

Transphyseal …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.