This patient’s family can be reassured and given instructions for symptomatic treatment. Follow-up can occur with a pediatrician as needed.
If there is no radiographic evidence, but there is clinical concern for a fracture, consider temporary immobilization with a sling or posterior long arm splint. Ensure close follow up in 1 week for re-evaluation. Long periods of immobilization may result in complications such as contractures, muscle atrophy, neuropraxia, infections, and ulcers.
Dealing with someone older? Check out EMRad’s approach to the traumatic elbow.
And don’t forget to investigate the SplintER archives.