Children's Unit
SE/B05/008: Twist and Cry???
Baby in cot
Back to St Emlyn's Reception

A 23 month old year old child is brought to the ED. Her parents tell you that she was sat in the kitchen when she fell off a chair and landed on her arm. They did not witness the injury themselves. The history is second hand as the child was being looked after by the babysitter at the time.

The parents had gone out to a party at the local pub and had left the 1 year old with a 15 year old daughter of a friend who has baby sat for them before and with whom they have had no previous problems or concerns.

Clinical examination shows the child to be in pain. She is not moving her right arm and cries more if you try and examine it.


1. Comment on the XRay
2. Comment on the clinical history
3. What would you do next?