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Jan 13 2011, 7:28 AM EST
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Change: Charles A. Rockwood, Kaye E. Wilkins, James H. Beaty, James R. KasserRockwood and Wilkins' fractures in childrenLippincott Williams & Wilkins, 2006 The application of the CRITOL rule suggests an avusion fracture. The lateral ossification centre
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Jan 13 2011, 7:18 AM EST
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Change: an avulsion of the medial epicondyle not the lateral epicondyle.Soft Tissue SignsThe soft tissues adjacent to the lateral epicondyle appear normal. Elbow avulsion fractures in children should demonstrate asociatedassociated changes in the adjacent soft tissues. ... back to the Applied Radiography home page
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Jan 13 2011, 7:09 AM EST
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Change: The application of the CRITOL rule suggests an avusion fracture. The lateral ossification centre should follow the ossification of the trochlea. The trochlea is not
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Jan 13 2011, 6:16 AM EST
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Change: This 9 year old girl presented to the Emergency Department after falling off a chair. On examination, she was found to have a painful left elbow. She was referred for left elbow radiography. The Gartlandlateral classificationelbow image demonstrates multiple soft tissue signs.There are anterior
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Sep 18 2010, 7:23 AM EDT
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Change: Tip: Supinator or Pronator Memory Aid? Adapted from http://globalvillagebrisbane.files.wordpress.com/2008/12/waiter_-_cartoon_4.jpg TipIf you have trouble remembering whether it is the supinator fat pad sign or the pronator fat pad sign, think of a restaurant waiter. Waiters sometime carry soup bowls (i.e. "soupinator") in their elbows. ..... pronator fat
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Jul 28 2009, 11:43 PM EDT
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Change: malposiitonedmalpositioned view. This suggests that the patient's hand needs to be raised to correct this malposition. The Hockey Stick Analogy The lateral elbow has been likened to a hockey stick shape as shown left.Whilst it is undeniable that this lateral elbow
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Jul 28 2009, 11:35 PM EDT
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Change: The medial epicondylar apophysis is projected almost clear of the distal humerus on the malposiitoned view. This suggests that the patient's hand needs to be raised to correct this malposition. The Hockey Stick Analogy The lateral elbow has been likened to a hockey stick shape as shown below left.Whilst
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Jul 19 2009, 8:10 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, 8:04 AM EDT
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Change: (ie(i.e. "soupinator") in their elbows. ..... pronator fat pad at the wrist.... supinator fat pad at the elbow. The Fat Pad Sign The fat pad sign or sail sign indicates that the patient has sustained an intra-articular injury. Importantly, it does not indicate that the
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Jul 5 2009, 9:11 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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Mar 18 2008, 11:28 PM EDT
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Change: It is also noteworthy that the radial head is usually normally aligned or obviously dislocated. Another useful feature of the proximal radial line is that it should always bisect the capitelum in any projection. Abnormal Proximal Radial Line Elbow Alignment The proximal radial line does
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Mar 18 2008, 10:56 PM EDT
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Change: This first attempt at a lateral elbow is not in a true lateral position as suggested by the following there is no figure eight sign the anterior humeral line almost divides the capitellum in half rather than thirds the medial epicondyle can be seen
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Mar 9 2008, 10:35 AM EDT
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Change: (appears at age 1)2. Radial Head (appears at age 3)3. Internal (medial epicondyle) (appears at age 5)4. Trochlea (appears at age 7)5. Olecranon (appears at age 9)6. Lateral Epicondyle (appears at age 11)The capitellum contributes to
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Feb 29 2008, 8:49 AM EST
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Change: (same image)with figure eight sign marked Important The figure eight sign does not indicate a perfectly positioned lateral elbow. However, the absence of the figure eight sign could indicate that the elbow is not lateral, or that the elbow is fracturedfractured, or both. The Supinator Fatpad Sign The
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Feb 29 2008, 8:47 AM EST
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Change: appearance is not a useful guide when assessing whether a lateral elbow is in a true lateral position. The Figure Eight or Hour Glass Sign First Attempt Second Attempt Second Attempt This is the first attempt at a lateral elbow. Note the absence of the
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Feb 29 2008, 8:46 AM EST
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Change: The patient's wrist has been raised slightly. This movement has caused the medial epicondylar ossification centre to be partially superimposed over the distal humerus and the radial head to further overlap the ulna. This is logical if you think about the relationship between the anatomical structures. A better
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Feb 26 2008, 7:49 AM EST
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Change: potentialprobability forof intra-articular fracture of approximately 70-80%, whereas a posterior fat pad sign indicates a 90% chance of intra-articular fracture. The anterior fat pad can be seen in a normal elbow. The posterior fat pad sign is never visible in a normal elbow. Anatomy In a
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Feb 26 2008, 7:47 AM EST
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Change: CritolCRITOL Rule It is not uncommon for the ossification centres to appear out of order The ages at which the ossification centres appear is approximate only. Different texts will suggests slightly different ages The trochlea often appears fragmented- this is normal the "I" in CRITOL
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Feb 26 2008, 7:46 AM EST
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Change: appearances appearances of the ossification centres of the elbow frequently causes confusion. confusion. The CRITOL rule is a memory aid that lists the order of appearance of the elbow ossification centres The order of appearance of the elbow ossification centres is as follows1. Capitellum (appears at age 1)
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Feb 26 2008, 7:44 AM EST
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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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