Radial head occult fracture

Case contributed by Mohamed El Deen
Diagnosis certain

Presentation

Trauma to the right elbow two days ago with localized pain on the lateral aspect of the joint.

Patient Data

Age: 43
Gender: Female
x-ray
Frontal
Oblique
Oblique
Lateral
Download
Info

Some times it is difficult to distinguish occult radial head fractures in radiography. Presence of elevated anterior fat pad  "sail sign" in lateral projection is highly suspicious for the presence of an occult fracture. Osteoarthritic changes in the elbow joint are also noted.  

ct
This study is a stack
Axial bone
window
This study is a stack
Sagittal
bone window
This study is a stack
Coronal
bone window
This study is a stack
3D reconstruction
3D reconstruction
Download
Info

CT scan axial, sagittal, coronal and 3D reformat showing occult fissure fracture of radial head and neck . Marginal osteophytes from DJD changes are also noted in joint bones.

Case Discussion

Some times it is difficult to distinguish occult radial head fractures in radiography. The presence of an elevated anterior fat pad  "sail sign" in the lateral projection is highly suspicious for the presence of an occult fracture.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.