SplintER Series: Fracture After a Fall From a Bunk Bed
A 6-year-old male presents to the ED after a fall from his 5 foot high bunk bed causing elbow trauma. On exam, there is significant focal swelling, ecchymosis, and tenderness at the lateral left elbow. The forearm, wrist, hand and shoulder are nontender. He is neurovascularly intact. You suspect a fracture and obtain x-rays (Figures 1 and 2).
Figure 1: Initial radiographs in the ED with the elbow slightly flexed.
Figure 2: AP and lateral radiographs of the elbow.