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March 2007 Radiology Quiz
This patient is an 8 year old male presents to the ED with the chief complaint of elbow pain status post fall. The following ray is shown.
Questions:
1. Describe what you see?
2. How does this injury typically occur?
- Typically caused by a fall on an outstretched arm
3. What are the complications?
- Injuries to the brachial artery and the median nerve producing weakness of the flexor muscles of the hand and loss of two point discrimination of the index and middle fingertips.
- Volkmann’s ischemic contracture
4. How who you manage this patient?
- Emergent orthopedic consultation
- Adult patients usually require surgical intervention
- In children, nondisplaced, nonangulated fractures can be splinted (elbow in 90° of flexion); angulated fractures require reduction and splinting; and displaced fractures require reduction and percutaneous pinning on an urgent basis within 12-24 hours
Doors Trivia: In this song, Morrison's vocals were recorded in the studio bathroom to get a fuller sound. Name the song?
Answer: LA Woman
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