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Growth plates are particularly vulnerable to injury compared to bone. Children can have an open medial epicondyle growth plate until age 13–17 years old, thus making the medial epicondyle more susceptible to injury. [3] Medial epicondyle fractures are associated with a dislocation of the elbow in about 25% of cases. [citation needed]
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. Splinting ...
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 ages of fusion are more variable than ossification, but normally occur at 13, 15, 17, 13, 16 and 13 years, respectively. [16] In addition, the presence of a joint effusion can be inferenced by the presence of the fat pad sign , a structure that is normally physiologically present, but pathologic when elevated by fluid, and always pathologic ...
If a joint effusion is depicted in the ultrasound, two-plane X-ray imagery is necessary to diagnose the fracture. The standard procedure is the elbow-SAFE algorithm. [ 18 ] The sensitivity of the method in comparison with X-ray imaging is 97.9 percent, the specificity is 95 percent, the positive predictive value is 0.95, and the negative ...
Little League elbow, technically termed medial epicondyle apophysitis, is a condition that is caused by repetitive overhand throwing motions in children. "Little Leaguer's elbow" was coined by Brogdon and Crow in an eponymous 1960 article in the American Journal of Radiology. [1] The name of the condition is derived from the game of baseball.
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Elbow fractures are any broken bone in or near the elbow joint and include olecranon fractures, supracondylar humerus fractures and radial head fractures. [1] The elbow joint is formed by three different bones: the ulna, radius, and humerus that permit the joint to move like a hinge and allow a person to straighten and bend their arm and these bones are connected by tendons, ligaments, and ...