Mind your elbows!

A 4-year-old boy presents to your emergency department after a fall from a step onto his outstretched right hand. He has complained of pain in the elbow and has not been using it since. On examination he's quite tender, swollen and neurovascularly intact. You decide not to try and manipulate for a pulled elbow, and go ahead with an xray.

 

 

 

 

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