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An 8-month-old boy was brought in by his parents for refusing to use his right arm after a fall off of the couch earlier in the evening. The patient's hand is otherwise well-perfused. Current imaging is shown in Figure A. After immobilization of the extremity which of the following is the next best step in treatment?
Magnetic resonance imaging (MRI) of the elbow
Computed tomography (CT) of the elbow
CT of the head
Emergent fixation in the operating room
Contacting child protective services
Select Answer to see Preferred Response
Which of the following injuries shown in Figures A-E is most commonly the result of child abuse?
A 7-month-old girl cries when the mother touches her swollen left elbow. Figure A displays a series of radiographs. In Figure A, the images labeled A and B show the painful left elbow, while C and D are of the contralateral, non-injured elbow. What is the most appropriate treatment?
Open reduction and internal fixation
Closed reduction and percutaneous pinning
Closed reduction and casting
Closed reduction and hinged external fixation
A 10-month-old child fell off of the couch and has left elbow pain and swelling. A radiograph is shown in Figure A. All of the following are characteristics of this injury pattern EXCEPT:
High risk of tardy ulnar nerve palsy
High association with child abuse
High risk of cubitus varus deformity
High risk of subsequent avascular necrosis of the medial condyle