際際滷

際際滷Share a Scribd company logo

Kf georgia prs pp rad head2 (2)

I
Ira Pasternack

Kenneth C. Fortgang is a medical director of Premier Radiology Services. He completed medical school at the Medical College of Georgia and did a surgical internship at the University of Southern California/LAC and a radiology residency and interventional fellowship at USC/LACounty. He also has experience working at level I and II trauma centers at North Broward Hospital District. The document provides guidance on evaluating elbow radiographs for radial head fractures, including identifying the fat pad signs and distinguishing intra-capsular from extra-capsular fractures. Radial head fractures are classified as type I, II, or III depending on the degree of displacement and comminution.

1 of 30
Kf georgia prs pp rad head2 (2)
MEDICAL COLLEGE OF GEORGIA; MD UNIV OF SOUTHERN CAL/LAC; SURGICAL INTERNSHIP USC/LACOUNTY; RADIOLOGY RESIDENCY AND INTERVENTIONAL FELLOWSHIP NORTH BROWARD HOSPITAL DISTRICT; LEVEL I AND LEVEL II TRAUMA CENTERS
Kenneth C. Fortgang, MD Medical Director Premier Radiology Services
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Anatomy H U M E R U S TROC CAP U R L A N D A I U S 息Ken L Schreibman, PhD/MD 2003
Anatomy H U OLECRANON M E R U S TROCCAP R U A L D N I A U S CORONOID 息Ken L Schreibman, PhD/MD 2003
H Posterior Fad Pad Anterior Fad Pad (Olecranon Fossa) U (Coronoid Fossa) M E R U S CAP 息Ken L Schreibman, PhD/MD 2003
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Adequate Exposure Alignment Bone Contour Margins Density Tabecular pattern Soft tissues
Ask for 3 views: AP, oblique extended, lateral 90 degree flexion. Look for sail sign and posterior fat pad If these signs are present but no fracture is identified, radial head fracture is likely. Look for a fracture line and contour deformity
Kf georgia prs pp rad head2 (2)
Radial head fracture types Type I: less than 2 mm displacement Type II: angulated or >2 mm displaced Type III: comminuted
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Figure 1. Lateral radiograph shows a positive fat pad sign in a patient with a nondisplaced fracture of the radial head. Goswami G K Radiology 2002;222:419-420 息2002 by Radiological Society of North America
Radial neck fracture Extra-capsular No FAT PAD
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Kf georgia prs pp rad head2 (2)
Look for fat pads signs (capsular effusion) Anterior fat pad (from coronoid fossa) may be normal; compare to other side Posterior fat pad (from olecranon fossa) is always abnormal Compare to x-rays of other side in children If elbow cant be extended, obtain AP/lat of both humerus and forearm
Kf georgia prs pp rad head2 (2)

More Related Content

Kf georgia prs pp rad head2 (2)

  • 2. MEDICAL COLLEGE OF GEORGIA; MD UNIV OF SOUTHERN CAL/LAC; SURGICAL INTERNSHIP USC/LACOUNTY; RADIOLOGY RESIDENCY AND INTERVENTIONAL FELLOWSHIP NORTH BROWARD HOSPITAL DISTRICT; LEVEL I AND LEVEL II TRAUMA CENTERS
  • 3. Kenneth C. Fortgang, MD Medical Director Premier Radiology Services
  • 7. Anatomy H U M E R U S TROC CAP U R L A N D A I U S 息Ken L Schreibman, PhD/MD 2003
  • 8. Anatomy H U OLECRANON M E R U S TROCCAP R U A L D N I A U S CORONOID 息Ken L Schreibman, PhD/MD 2003
  • 9. H Posterior Fad Pad Anterior Fad Pad (Olecranon Fossa) U (Coronoid Fossa) M E R U S CAP 息Ken L Schreibman, PhD/MD 2003
  • 13. Adequate Exposure Alignment Bone Contour Margins Density Tabecular pattern Soft tissues
  • 14. Ask for 3 views: AP, oblique extended, lateral 90 degree flexion. Look for sail sign and posterior fat pad If these signs are present but no fracture is identified, radial head fracture is likely. Look for a fracture line and contour deformity
  • 16. Radial head fracture types Type I: less than 2 mm displacement Type II: angulated or >2 mm displaced Type III: comminuted
  • 19. Figure 1. Lateral radiograph shows a positive fat pad sign in a patient with a nondisplaced fracture of the radial head. Goswami G K Radiology 2002;222:419-420 息2002 by Radiological Society of North America
  • 20. Radial neck fracture Extra-capsular No FAT PAD
  • 29. Look for fat pads signs (capsular effusion) Anterior fat pad (from coronoid fossa) may be normal; compare to other side Posterior fat pad (from olecranon fossa) is always abnormal Compare to x-rays of other side in children If elbow cant be extended, obtain AP/lat of both humerus and forearm