Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of elbow pain and swelling following a fall onto an outstretched hand (FOOSH). Reports immediate inability to bear weight or move the affected limb. No reported loss of consciousness, numbness, or tingling in the distal extremity.
Clinical Examination Findings
Physical exam reveals significant swelling, ecchymosis, and tenderness over the distal humerus. S-shaped deformity noted. Neurovascular status: Distal pulses (radial/ulnar) palpable and symmetric. Capillary refill < 2 seconds. Sensation intact to light touch in median, ulnar, and radial nerve distributions. No evidence of compartment syndrome.
Treatment Protocol
Immobilization with a posterior splint in 20-30 degrees of flexion. Analgesia administered. Orthopedic consultation obtained for definitive management (closed reduction and percutaneous pinning vs. casting). NPO status initiated in anticipation of potential surgical intervention.