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Woman with right elbow pain after a fall
  1. Chun-Jen Wu,
  2. Kuang-Chau Tsai,
  3. Chih-Jung Chang
  1. Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  1. Correspondence to Dr Chih-Jung Chang, Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; chihjung0729{at}

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Clinical introduction

A 46-year-old woman presented to the emergency department with right elbow pain after falling down on an outstretched hand while descending the stairs. Physical examination showed right elbow swelling, tenderness and limited motion. The distal limb circulation and neurovascular function were unremarkable. Plain radiographs were obtained (figure 1).

Figure 1

Plain radiographs of the right elbow indicating the possible diagnosis.


What is the most likely diagnosis?

  1. Terrible triad injury

  2. Monteggia fracture-dislocation

  3. Isolated radiocapitellar dislocation

  4. Occult supracondylar fracture


C (Isolated radiocapitellar dislocation)


Plain radiographs …

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  • Contributors C-J.W acquired the clinical data, drafted the manuscript and maintained contact and consent with the patient. K-C.T served as scientific advisor and did revision of the manuscript. C-J.C was responsible for editing the article and gave final approval to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.