Presentation
Hit the left elbow while sustaining a fall.
Patient Data
Age: 35 years
Gender: Female
From the case:
Compression fracture of the capitellum
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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.
From the case:
Compression fracture of the capitellum
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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.