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Feb 28 2011, 4:25 AM EST
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Change: This 6 year old boy presented to the Emergency Department with a painful left elbow after falling of play equipment. He was examined and referred for left elbow radiography.There is evidence of anterior and posterior fatpad signs.There is evidence of a minimally displaced supracondylar fractureThe anterior
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Aug 3 2010, 9:25 AM EDT
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Change: image taken from forearm views aboveThe anterior humeral line falls within the anterior third of the capitellum suggesting a supracondylar fracture. The radiographer considered this appearance to be projectional rather than pathological. The lateral projection was repeated. image taken from forearm views aboveThe question arises
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Jul 18 2010, 8:53 PM EDT
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Change: The Adult Lateral ElbowThis is an acceptable lateral elbow position. The elbow is flexed to an approximate right angle (90 degrees)The capitellum, medial lip of the trochlea and trochlear notch (the 3 rings) are concentric.This is not a true lateral elbow position. The elbow is
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Jul 18 2010, 8:51 PM EDT
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Change: The question arises as to how to correct the malpositioned lateral elbow- does the patient's hand need to be lowered or raised to rotate the
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Jul 18 2010, 7:59 PM EDT
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Change: for both elbow projections, you will have demonstrated the radius in a PA projection only on both views. This is an unacceptable radiographic series for assessment of the radius.This is an acceptable lateral elbow position. The elbow is flexed to an approximate right angle (90 degrees)The
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Jun 27 2010, 7:23 AM EDT
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Change: medial and lateral''3 epicondylesrings' are not superimposed.concentric.The positioning error is largely associated with the patient's forearm position. If the patient's hand is lowered minimally, the capitellum (white dotted outline) will move anteriorly and the trochlea (yellow outline) will move posteriorly.This lateral elbow
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Feb 18 2010, 2:30 AM EST
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Change: source: unknownElbow fatpad sign (sail sign) is usually present in patients with supracondylar fractures. The bony injury will usually result in a haemarthrosis.The distal humerus has two fossae- the coronoid fossa accommodates the coronoid process
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Feb 18 2010, 2:29 AM EST
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Change: Elbow fatpad sign (sail sign) is usually present in patients with supracondylar fractures. The bony injury will usually result in a haemarthrosis.The distal humerus has two fossae- the coronoid fossa accommodates the coronoid process of
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Feb 8 2010, 2:35 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 2:35 AM EST
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Jul 22 2009, 12:45 AM EDT
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Change: ---under construction--- Introduction Supracondylar fractures of the elbow are one of the most common fractures in children. Achieving satisfactory imaging of these fractures can present the
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Jul 22 2009, 12:44 AM EDT
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Change: Supracondylar fractures in children often demonstrate acharacteristic distal humeral anterior cortical defect. The following cases provide examples of ths defect. Case 1This 5 year old boy presented to the Emergency Department after falling onto an
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Jul 19 2009, 7:59 AM EDT
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Change: coroanoidcoronoid fossa is smaller to accommodate the coronoid. This is consistent with the observation that a larger elbow joint effusion is required to reveal the posterior fat pad. Note that this patient has a visible normal anterior fat pad. Don't get the coracoid of the shoulder confused with the
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Jul 19 2009, 7:47 AM EDT
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Change: coranoid.coronoid. This is consistent with the observation that a larger elbow joint effusion is required to reveal the posterior fat pad. Note that this patient has a visible normal anterior fat pad. Don't get the coracoid of the shoulder confused with the coranoidcoronoid of the elbow.In
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Jul 19 2009, 7:46 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jul 19 2009, 7:43 AM EDT
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Change: coranoidcoronoid of the elbow. The Normal Elbow Alignment lines Normal Anterior Humeral LineAbnormal Anterior Humeral LIneThe normal alignment lines of the elbow can be a guide both to good positioning and
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Jul 19 2009, 7:41 AM EDT
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Change: coranoidcoronoid fossa accommodates the coranoidcoronoid process of the ulna on elbow flexion and the olecranon fassa accommodates the olecranon process of the ulna on elbow extension. The coranoidcoronoid fossa is a shallower fossa than the olecranon fossa-
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Jul 5 2009, 9:09 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jul 5 2009, 9:01 AM EDT
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Change: fracture.CommentThis case is typical of Gartland I supracondylar fracture . You will often have an age group, a mechanism of injury, soft tissue signs, and a subtle cortical defect on which to base a diagnosis....back to the Wikiradiography home page...back to the Applied Radiography home page
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Jul 4 2009, 9:26 AM EDT
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Change: As mentioned above, the anterior humeral line can fall within the middle third of the capitellum in a normal elbow. In this case the antreior humeral line bisects the capitellum. Comparison ViewsRoutine comparison views are rarely warranted in radiography and
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Jul 3 2009, 11:16 PM EDT
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Change: The lateral view image confirms the supracondylar fracture. This is a typical Gardtland type I supracondylar fracture. The cortical defects with this typeof fracture in children tend to be sited as shown in this case. They are often subtle. A close examination of teh anterior humeral line can be helpful.
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