Elbow joint effusion: sail sign

Case contributed by A.Prof Frank Gaillard

Presentation

Trauma

X-ray

On lateral elbow radiograph, the anterior fat pad (which is intra-articular, but extra-synovial) becomes elevated due to joint effusion.

There is also on sagittal CT, the fat pads of the elbow become elevated due to joint effusion.

Photo

Blue Sail

Case Discussion

There is elevated anterior fat pad of the elbow due to joint effusion which is called sail sign.

In adults, this is usually a radial head fracture whereas in children, the commonest cause of a raised elbow fat pad is a supracondylar fracture.  Where a fat pad is raised and no fracture is demonstrated, an occult fracture should be suspected.

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Case information

rID: 2657
Case created: 7th May 2008
Last edited: 3rd Oct 2015
Tags: trauma, elbow
Inclusion in quiz mode: Excluded

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