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It all started with a FOOSH

Author: Mark Ringer, MD
Peer-reviewer: Terese Whipple, MD
Final editor: Alex Tomesch, MD

A 17 year-old female presents with right elbow pain after a backwards fall with her arm extended behind her. On exam you note that she is holding her arm with approximately 45 degrees of flexion and is neurovascularly intact distally. 

Image 1. Case courtesy Dr. Mark Hopkins (***from Ortho EM pearls image bank***)


[1] Waymack JR, An J. Posterior Elbow Dislocation. [Updated 2021 Jul 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from:

[2] Mathew, Paul K. MD, FRCSC; Athwal, George S. MD, FRCSC; King, Graham J. W. MD, MSc, FRCSC Terrible Triad Injury of the Elbow: Current Concepts, Journal of the American Academy of Orthopaedic Surgeons: March 2009 - Volume 17 - Issue 3 - p 137-151