I received a text from husband this afternoon. 

“She fell off parallel bars and dislocated her elbow. I popped it back in. Going to emerg.” 

I promptly left the office before my last patient arrived and met them at the ER.  

Deja vu. 

Elbow swollen. At first I thought she suffered a pulled elbow but husband says she landed on an outstretched arm. The same arm she broke 9 months ago. 

Sigh. 

Thankfully the ER  was pretty quiet. We were triaged, seen, x-rayed and casted within two hours. 

While there was no obvious fracture seen her X-ray showed a class “sail sign” which in children is suggestive of a supracondylar fracture.  Leave it to my kid to have a textbook xray. 

She’s in a cast/splint until our next visit to the fracture clinic where they will re- xray her and see where things are at. She’s already decided she wants a pink cast this time. 

Kids.