Arm Pain in Pediatrics — 2yo Child | Pediatric Emergency | SMLE Q#16434
SMLE Question #16434
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 2-year-old boy is brought to the emergency department for arm pain after reportedly falling from a low sofa at home. Examination shows localized tenderness and swelling over the upper arm without other bruises. He is interactive, well nourished, and appropriately dressed. Plain radiographs confirm a non-displaced humeral shaft fracture. Which of the following findings would most strongly raise concern for non-accidental trauma?
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