Clinical Details

Clinical and radiological findings:  43-year-old woman with inability to use her left upper limb since 8 months. She was apparently well till 8 months back when she had a fall on out her stretched hand and sustained Isolated closed injury to her elbow. She underwent ORIF and her post operative period was uneventful. On clinical examination the surgical scar healthy, and there were no sinuses. She had stress tenderness at the distal humerus, ROM flexion 20-80 deg with pain and there was no distal neurovascular deficit. Shoulder and wrist -ok. Previous X-rays were not available Investigations: Hb 8.9 GM% Creatinine 0.81 mg% HBA1 C 5.5 % Vitamin D 10 ng/ml ESR 45mm/hr, CRP 6.15 mg/L