26th August 2020

A 7-month-old female presents to you in A&E with her mother

A 7-month-old female presents to you in A&E with her mother. Her mother says she fell down the stairs and hurt her right arm. Both the mother and the child are in obvious distress and the little girl is reluctant to let you examine her. Mum says she doesn’t like doctors and refuses to take her daughter to see them, relying on home remedies and homeopathy if her daughter is unwell. Her arm looks reasonably normal with little evidence of deformity but the little girl holds her arm very close to her chest and will not move it. The rest of her examination is normal but you note that she is pale and is not gaining weight as expected. To be on the safe side you organise an x-ray of the arm and discuss the case with your seniors. Her x-ray is below:

Image courtesy of Wiki Commons

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.