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The parents of a 2-year-old girl are concerned that their daughter has difficulty feeding herself from a bottle. They have noticed that she rotates her elbow in front of her body when trying to bring the bottle to her mouth. Physical exam demonstrates 10 degrees of elbow hyperextension and 160 degrees of flexion. The forearm does not actively or passively rotate. A radiograph is provided in figure A. Which of the following would be an indication for a future surgical intervention?
Forearm fixed in 45 degrees of pronation
Forearm fixed in 30 degrees of supination
Patient younger than 3 years of age
An affected older sibling
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