8yo fell off monkey bars
There are obvious mid-shaft fractures of the radius and ulna, and that is what the ED practitioners diagnosed. However, even though the elbow portion of the films do not show true AP or true lateral views, there is evidence of an elbow dislocation as well. A line drawn down the middle of the radius should always run straight into the capitellum.
Lessons learned: 1) look at all parts of the film, 2) this is why orthopedists always ask for films of the joint above and the joint below the area of injury, 3) get dedicated films of other affected areas