A 9-year old male soccer goalie presented to the emergency department with a complaint of forearm pain following a fall on outstretched arm during practice. Pain was located in the mid-distal radius, proximal to the wrist. There was minimal pain with wrist flexion and extension. No pain with movement of the elbow. There is significant tenderness to palpation in a small area of the mid-distal radius without any tenderness proximal or distal to this area. No deformity of the forearm noted. Bedside ultrasound (Image 1) of the area of tenderness is shown below.