Image Quiz
Elbow-Swelling in a Twelve-Year-Old Boy
Jorge Fabregas, MD, Lubica Jencikova-Celerin, MD, and John P. Dormans, MD*,
Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
A previously healthy twelve-year-old-boy presented with a three-month history of pain and inability to fully extend the left elbow. The parents also noted some fullness about the left elbow. There was no history of any recent trauma.
Physical examination revealed a twelve-year-old healthy boy with an inability to extend the left elbow the final 20° of normal elbow range of motion. Generalized swelling was also noted about the left elbow. There was slight warmth of the left elbow compared with the contralateral side, and there was point tenderness over the distal aspect of the left humerus on palpation. The patient had had no fever, weight loss, or malaise. Plain radiographs of the affected area were made (Figs. 1-A and 1-B) and magnetic resonance images were acquired (Figs. 2-A and 2-B).
Fig. 1-A |
Fig. 1-B |
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Fig. 2-A |
Fig. 2-B |
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