Suspicious Fracture in a Toddler Medscape

Description: C.R. is a 2-year-old Asian boy who presents with his mother, who reports that he has not moved his arm since he awoke 2 hours ago. She noticed his pain when attempting to get him dressed, because he did not want to move his arm. She did not notice any bruises or signs of trauma to the rest of his body. The history reveals that the child and his two older siblings (ages 5 and 7 years) were left with their babysitter the evening before. His mother noticed that he seemed more restless in his sleep. The babysitter did not report any fall, trauma, or complaints of pain from the child. Further investigation reveals the child has had no recent illness, fever, malaise, change in mood, change in appetite, or excessive bruising or bleeding.