Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right elbow pain following a fall onto an outstretched hand (FOOSH). Reports localized tenderness over the radial head, swelling, and restricted range of motion, particularly in forearm rotation (pronation/supination). No reports of numbness, tingling, or distal neurovascular deficit.
Clinical Examination Findings
Right elbow inspection reveals localized edema and ecchymosis over the radial head. Palpation elicits significant tenderness at the radial head and proximal radius. Range of motion is limited by pain in flexion/extension and severely restricted in pronation/supination. Distal neurovascular status is intact with palpable radial pulse and normal capillary refill. No signs of compartment syndrome.
Treatment Protocol
Immobilization of the right elbow in a posterior splint or sling for comfort. Recommendation for ice application, elevation, and NSAIDs for pain management. Referral to orthopedic surgery for definitive management and follow-up imaging. Advised to avoid weight-bearing or strenuous activity with the affected extremity.