MPH An 8 year old female presents to the ED after falling off the monkey bars at school, complaining of pain in her elbow. There is tenderness over the lateral aspect of the elbow and reduced range of motion on flexion, supination, and pronation due to pain. Distally, the exam is negative. Possibly, there is some very mild elbow swelling, but this is not obvious. There are no deformities.
Sensation is intact distally.
The radial pulse is present at the wrist. The proximal humerus, shoulder, and clavicles are non-tender. Radiographs of the elbow are obtained. View elbow radiographs.