Wednesday, September 3, 2008

Sad Elbow Revisited

Just an update on Monday's incident...

So after all that, the "re-adjustment", the x-rays, and a day of watching, we noticed Jake still isn't using his arm normally. He can pick up a ball but won't throw it. So, while at his Pediatricians follow up appointment today, I heard some shocking news about what the UCLA Radiologist had found. Apparently, they ended up diagnosing him with something completely different after we had left the ER. They now think it is a growth plate fracture or a Salter-Harris type 1 fracture to his humerus, the bone that runs from his shoulder to his elbow. This type of fracture is almost impossible to see on an x-ray so, I'm guessing, this is why it took two radiologist several hours to figure this out. The really nice ER Doctor that treated Jake did call us yesterday and this morning and had mentioned that if he wasn't getting any better, which he should have if it were nursemaid elbow, it might be this type of fracture but never even hinted that it was indeed a fracture.

As any parent can imagine, we are absolutely beside ourselves with questions and hardly a clue as to how this happened. I'm guessing maybe he fell out of bed Sunday night and just hid this really well until we noticed it on Monday. Some kids just mask pain really well. Thankfully, like I said, his arm isn't totally immobile as he can pick things up. I'm REALLY, REALLY hoping that the Orthopedic Surgeon won't decide to cast him, but we'll just have to wait and see. This type of injury can cause stunted growth and/or deformities if it doesn't heal properly. So, for now, just please say a little prayer for Jake. He (we) will need it.

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