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Case: Radial Head Fracture

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If this person had elbow pain

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after a fall on outstretched hand, we have three projections

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of the elbow on our frontal projection.

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We can follow the distal humerus cortex

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and show that it's intact

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and we can identify the radio Capella articulation and,

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and the ulnar humeral joint here on our lateral projection.

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It doesn't look optimally positioned

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as we don't see quite overlap of the foss,

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but there appears to be displacement

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of the anterior fat pad here, so we're suspicious

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that there's something else going on.

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We see the radial head contour appears somewhat abnormal

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here at the head and neck junction,

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however that might be projection on our frontal view.

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It appears relatively maintained,

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but on additional projection here,

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as we scrutinize more along the radial head

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and neck junction, we can identify a discontinuity as well

1:01

as a bit of an offset.

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And so this represents a minimally displaced radial head

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fracture.

Report

Faculty

John A Carrino, MD, MPH

Vice-Chairman, Radiology and Imaging

Hospital for Special Surgery

Tags

X-Ray (Plain Films)

Trauma

Musculoskeletal (MSK)

Emergency

Elbow & Forearm