Presentation
Sustained a fall.
Patient Data
Age: 70 years
Gender: Female
From the case:
Subtle radial neck fracture


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Info

- striking anterior fat pad sign indicating elbow joint effusion
- cortical breach along the circumference of the radial neck, adjacent sclerotic band caused by a discrete impaction
From the case:
Subtle radial neck fracture


Download
Info

Key images:
- anterior fat pad sign
- broken cortex (arrows)
- sclerotic band due to impaction (arrowheads)
Case Discussion
The anterior fat pad sign should be taken as hard evidence of trauma, necessitating careful scrutiny and high level of suspicion.