Elbow X-ray (peds): Difference between revisions
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==Reading Film== | ==Reading Film== | ||
*Anterior humeral line should intersect with middle third of capitellum | *Anterior humeral line should intersect with middle third of capitellum | ||
**If not, consider [[supracondylar fracture]] or [[lateral condyle fracture]] | **If not, consider [[supracondylar fracture]] or [[Lateral epicondyle fracture (peds)|lateral condyle fracture]] | ||
*Line drawn along axis of radial head and neck should pass through middle of capitellum | *Line drawn along axis of radial head and neck should pass through middle of capitellum | ||
**If not, consider [[fracture of lateral condyle]], [[Radial head fracture (peds) |radial neck]], [[Monteggia]], or [[elbow dislocation]] | **If not, consider [[Lateral epicondyle fracture (peds)|fracture of lateral condyle]], [[Radial head fracture (peds) |radial neck]], [[Monteggia]], or [[elbow dislocation]] | ||
*Fat pads | *Fat pads | ||
**Anterior may be normal or if large may be abnormal ("sail sign") | **Anterior may be normal or if large may be abnormal ("sail sign") | ||
Revision as of 19:06, 9 January 2018
Elbow Ossification by Age (CRITOE)
| Ossification Center | Age of Appearance (add 1yr for boys) |
| Capitellum | 1yr |
| Radial head | 3yr |
| Internal epicondyle | 5yr |
| Trochlea | 7yr |
| Olecranon | 9yr |
| External epicondyle | 11yr |
Reading Film
- Anterior humeral line should intersect with middle third of capitellum
- If not, consider supracondylar fracture or lateral condyle fracture
- Line drawn along axis of radial head and neck should pass through middle of capitellum
- If not, consider fracture of lateral condyle, radial neck, Monteggia, or elbow dislocation
- Fat pads
- Anterior may be normal or if large may be abnormal ("sail sign")
- Posterior is always abnormal