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| Xrays - 4 things to check
| | #REDIRECT[[Elbow diagnoses]] |
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| 1. Anterior Humeral Line - intersects
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| middle third of capitellum
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| - abnl in SCH Fx
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| 2. Radiocapitellar Line - center of
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| shaft of proximal radius passes
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| through the capitellum.
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| - abnl in radial head D/L
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| 3. Bauman's Angle - nl range 9-26 deg
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| in 95%. May be abnl in SCH Fx
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| 4. Post fat pad or Ant sail sign
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| ADULT INJURIES
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| 1. Radial Head/Neck Fractures
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| - 50% of elbow injury in adults
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| - see Elbow Fx lect
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| 2. Olecranon Fx - 2nd most common
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| 20%
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| - direct blow
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| - pain,swelling, can't extend elbow
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| - OR if > 2 mm stepoff
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| 3. Elbow D/L
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| - 3rd most common jt D/L
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| - 90% post or postlateral
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| - 50% have assoc injuries, most
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| common is med epicondylar fx that
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| can often get entrapped
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| - prox radius & coronoid also Fxed
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| - ulnar injury - 8-21% in post D/L
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| - higher rate of neurovasc injury
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| in anterior D/L
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| - Long arm post splint
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| Monteggia Fx/D/L
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| Type I - prox 1/3 of ulna, ant displ of
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| distal ulna & ant disl of radial head
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| 80%
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| Type II - post displ of distal ulna &
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| post D/L or radial head (20%)
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| - Dislocation of radial head requires ORIF
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| ==See Also==
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| Ortho: Elbow Fracture
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| Ortho: Elbow (Minor)
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| Peds: Supracondylar
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| Rads: Elbow Xray Peds
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|
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| ==Source==
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| Whiting lect 2001- By Lampe
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| [[Category:Ortho]] | |
