Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left elbow pain and deformity following a fall onto an outstretched hand (FOOSH). Reports immediate loss of function, localized swelling, and significant pain. Denies numbness, tingling, or distal paresthesia. No prior history of trauma to the affected extremity.
Clinical Examination Findings
Left upper extremity: Obvious deformity at the distal humerus, significant soft tissue swelling, and ecchymosis. Tenderness to palpation over the supracondylar region. Distal neurovascular status: Radial pulse 2+ palpable, capillary refill <2 seconds. Sensation intact to light touch in median, ulnar, and radial nerve distributions. Motor function: Unable to assess due to pain, but no gross deficits in distal digit flexion/extension.
Treatment Protocol
Immobilization with a long arm posterior splint in 20-30 degrees of flexion. Analgesia administered. Orthopedic consultation obtained for definitive management (closed reduction vs. percutaneous pinning). NPO status initiated in anticipation of potential surgical intervention. Elevation and ice application advised.