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Resolution
The patient’s problem list includes trauma and multiple fractures, including the humerus distal (supracondylar) and radius shaft.
Note that while a supracondylar humerus fracture is evident in this x-ray, it is often occult. In this case, the “anterior humeral line” does not bisect the “capitellum.” This is pathognomonic for supracondylar humerus fracture and requires immediate orthopedic referral. This is an unstable fracture.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge: May, 2011
Nahum Kovalski, BSc, MDCM
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