20-year-old man with left elbow pain and swelling

The patient, a 20-year-old man, presented with left elbow pain and swelling since last night. He was at a heavy metal concert, was pushed by the crowd and fell backward onto the elbow.

On physical exam, the patient’s left elbow was swollen and tender over the olecranon process with no other points of tenderness. His elbow pain increased with any attempts at range of motion testing and he was reluctant to fully extend the elbow.