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Compression fracture of the capitellum

Case contributed by Dr Balint Botz

Presentation

Hit the left elbow while sustaining a fall.

Patient Data

Age: 35 years
Gender: Female

No gross bony or soft tissue abnormalities can be discerned, and the otherwise very sensitive fat pad signs also prove to be negative. Nevertheless the contour of the capitellum around its radial aspect appears irregular (see magnified key image). Considering the strong clinical suspicion a CT was requested. 

A slightly displaced, compressed fracture is clearly visible in the articular surface of the capitellum, which in retrospect explains the perplexing appearance of the frontal radiograph. 

Case Discussion

Minimally displaced fracture of the capitellum which was borderline occult in the radiographs. 

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Case information

rID: 72042
Published: 7th Nov 2019
Last edited: 16th Dec 2019
System: Trauma
Inclusion in quiz mode: Included
Institution: University of Pécs

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