Abstract
We present a 23-year-old right-handed male patient who presented to the Accident & Emergency department having fallen onto his outstretched left arm whilst intoxicated. The patient had a painful and deformed left elbow with significant swelling around the elbow and the forearm. The hand was cool, pale and there was no radial or ulnar pulse present. Initial radiographs revealed a dislocation of the elbow (Fig. 1). Further clinical examination revealed that the elbow was dislocated laterally. The elbow was immediately reduced under sedation and satisfactory reduction confirmed on radiographs (Fig. 2). Further assessment revealed that the distal pulses remained absent. A reliable neurological examination was not possible due to the alcohol intoxication and the sedative medication. A doppler ultrasound probe confirmed the absence of radial and ulnar pulses.
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