He now presents to the ED with pain in his left forearm and elbow. There is no history of head trauma. He denies having a headache, and there is no nausea or vomiting. His past medical history is unremarkable. He is alert and oriented but in obvious discomfort secondary to left arm pain.
Pupils are equal and reactive.
His left clavicle, shoulder and humerus are nontender. He is tender over the proximal aspect of his left forearm. He is unable to flex, extend, supinate, or pronate at his left elbow. He is able to move all his fingers well. Distally, he is neurovascularly intact.