Look out for the Holstein-Lewis Fracture which is associated with radial nerve injury.  Also, be aware of the torsional forces associated with arm wrestling. 

Check out the paper mention

Moloney DP, Feeley I, Hughes AJ, Merghani K, Sheehan E, Kennedy M. Injuries associated with arm wrestling: A narrative review. J Clin Orthop Trauma. 2021 Apr 20;18:30-37. doi: 10.1016/j.jcot.2021.04.010. Erratum in: J Clin Orthop Trauma. 2021 Jul 30;20:101539. doi: 10.1016/j.jcot.2021.101539. PMID: 33996446; PMCID: PMC8091050.

Check out the Radiopaedia page 

Lustosa L, Campos A, Bell D, et al. Holstein-Lewis fracture. Reference article, Radiopaedia.org (Accessed on 23 Jan 2025) https://doi.org/10.53347/rID-99967

Check out the OrthoBullets page by Kellish and Weatherford

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This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor