Humeral shaft fractures: Nothing funny about that!

Case presentation

A 6-year-old boy presents with right upper arm and shoulder pain after falling off a horse while riding at a brisk trot. There is no reported loss of consciousness and he denies neck pain, abdominal pain, back pain, or elbow pain. His vital signs are age appropriate and there is no obvious injury other than mild edema and tenderness of his proximal right humerus. There is no apparent weakness or numbness. He has brisk capillary refill and a strong radial pulse. Sensation is intact. There are no lacerations or abrasions of the skin.

Imaging considerations