A child presented with a fall on an outstretched hand with the elbow in full extension. On examination there is pain and swelling over his right elbow. The probable diagnosis is:
Supracondylar fractures are the most common fracture about the elbow in children. They can be either extension type (>95%), which are displaced posteriorly, or flexion type (Extension type injuries most often occur with a fall on an outstretched hand with the elbow in full extension. The patient will have significant edema and tenderness at the elbow, a prominent olecranon, and a depression proximal to the elbow. The appearance may be easily mistaken for a posterior elbow dislocation. Ref: Bredenkamp J.H., Jokhy B.P., Uehara D.T. (2011). Chapter 267. Injuries to the Elbow and Forearm. In J.E. Tintinalli, J.S. Stapczynski, D.M. Cline, O.J. Ma, R.K. Cydulka, G.D. Meckler (Eds), Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e.
Fracture olecranon
Post dislocation of elbow
Supracondylar fracture of humerus
Fracture both bones forearm