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The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. [3] When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the fat pad out of its normal physiologic resting place.
The elbow undergoes dynamic development of ossification centers through infancy and adolescence, with the order of both the appearance and fusion of the apophyseal growth centers being crucial in assessment of the pediatric elbow on radiograph, in order to distinguish a traumatic fracture or apophyseal separation from normal development.
X-ray of the forearm (AP and lateral) should also be obtained for because of the common association of supracondylar fractures with the fractures of the forearm. Ideally, splintage should be used to immobilise the elbow at 20 to 30 degrees flexion in order to prevent further injury of the blood vessels and nerves while doing X-rays.
Studies generally use the x-ray appearance of the arm to determine how displaced a fracture is. The definition of ‘displaced fractures' are variable, with anything from 2mm to more than 15mm; [4] however x-rays on which this assessment is made are known to be hugely misleading with fractures showing little displacement having >10mm displacement using CT scans.
Projectional radiography, also known as conventional radiography, [1] is a form of radiography and medical imaging that produces two-dimensional images by X-ray radiation.The image acquisition is generally performed by radiographers, and the images are often examined by radiologists.
Elbow pain is a common complaint in both the emergency department and in primary care offices. The CDC estimated that 1.15 million people visited an emergency room for elbow or forearm-related injuries in 2020. [1] There are many possible causes of elbow discomfort but the most common are trauma, infection, and inflammation.
Image credits: skootch_ginalola #6. I was a newly minted graduate with fresh and optimistic views on my life as a doctor. Second week in came this old lady and her very dysfunctional family.
Radial head fractures are a common type of elbow fracture that typically occurs after a fall on an outstretched arm. [1] They account for approximately one third of all elbow fractures and are frequently associated with other injuries of the elbow. [2] [3] Radial head fractures are diagnosed by a clinical assessment and medical imaging.