[Solved]: A 3-year-old boy is brought to the office because…

A 3-year-old boy is brought to the office because he refuses to use his right arm. His parent states that this began immediately after the child threw himself on the floor while having a tantrum. The parent attempted to pick him up by the right arm, but the patient was squirming and flopping. He then let out a yell, became quiet, and stopped using the arm. He is up to date on all preventive needs. On examination, the patient is guarding the arm and does not want the physician to touch it. After some coaxing, the child allows the arm to be examined and is generally calm until the elbow is examined. Examination of the extremity reveals normal findings except for mild tenderness over the anterolateral aspect of the radial head and pain with even mild supination of the forearm. No bruising is noted on the arm or the rest of the patient’s body. Which of the following is the most appropriate next step? Select one: immediately call child protective services perform reduction with the hyperpronation method refer the patient to pediatric orthopedics for open reduction and internal fixation splint the extremity in place for 2 weeks