Ollie is an eight-year-old boy who is brought in by his father with left elbow pain after falling off his scooter, landing on his outstretched left hand. 

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<p>Ollie is an eight-year-old boy who is brought in by his father with left elbow pain after falling off his scooter, landing on his outstretched left hand.</p><p>He is now guarding the elbow and is reluctant to allow examination because of the pain.</p><p>Ollie is generally well, with no past history of note.</p><p>The elbow appears swollen, but there is no apparent deformity and no evidence of neurovascular compromise.</p><p>Ollie is referred for X-rays of the left elbow (pictured).</p>

Dr Ash Chehata is an orthopaedic surgeon, specialising in upper limb surgery, based in Melbourne, Victoria.