Radial Head Fractures Pathway Posted: 3/1/2022 ID: (C102012)

Radial Head Fracture in 39M

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CASE DESCRIPTION

AGE	39 / Male
CC	Right elbow pain
HPI	A 39-year-old male fell on ice and presents with right elbow pain. The patient was seen at an outside hospital and transferred for further evaluation of a closed head injury sustained in the fall. The patient states that he has isolated right elbow pain and denies any pain in any other extremity.
PMH	No significant past medical history
PE	A focused physical exam reveals no open wounds. There is no pain with range of motion of the shoulder and wrist. There is swelling and tenderness to palpation over the right elbow with pain throughout range of motion. The elbow is stable from 130 degrees of flexion to full extension. There is no apparent block to motion. The patient is neurovascularly intact.

AGE/GENDER:

39 / Male

CHIEF COMPLAINT:

Right elbow pain

HISTORY OF PRESENT ILLNESS:

A 39-year-old male fell on ice and presents with right elbow pain. The patient was seen at an outside hospital and transferred for further evaluation of a closed head injury sustained in the fall. The patient states that he has isolated right elbow pain and denies any pain in any other extremity.

PAST MEDICAL HISTORY:	No significant past medical history
PHYSICAL EXAM:	A focused physical exam reveals no open wounds. There is no pain with range of motion of the shoulder and wrist. There is swelling and tenderness to palpation over the right elbow with pain throughout range of motion. The elbow is stable from 130 degrees of flexion to full extension. There is no apparent block to motion. The patient is neurovascularly intact.
DIAGNOSIS:	Radial Head Fracture in 39M