Ortho Case of the Week – Peds Upper Extremity

Link to quiz

Case 1: A 5-year-old female presents with her parents after a FOOSH injury with right elbow pain. She refuses to move it and cries when you try to examine it.

  1. Describe your read of the x-rays above.
  2. Describe your management of this patient. What type of splint or other assistive device (sling, brace, etc.) would you place this patient in (if any) for this pathology?

Case 2: An 8-year-old female presents with right elbow pain after she lost her grip on the monkey bars and fell onto her outstretched hand.

  1. What is your read of the x-ray above?
  2. What nerve is most commonly injured with this type of injury and how would you test for it?
  3. How would you manage this patient if you did not have orthopedics available?