Elbow joint effusion - sail sign

Case contributed by Frank Gaillard , 7 May 2008
Diagnosis certain
Changed by Frank Gaillard, 29 May 2018

Updates to Study Attributes

Findings was changed:

On lateral elbow radiograph, the anterior fat pad (which is intra-articular, but extra-synovial) becomes elevated due to joint effusion appearing as a triangle. This has been termed the sail sign due to the resemblance to the spinnaker of a sailboat. 

Images Changes:

Image X-ray (Lateral) ( update )

Description was removed:
X-ray

Updates to Study Attributes

Findings was changed:

Blue Sail

Image courtesy of McKay Savage.  (http://flickr.com/photos/56796376@N00)

This file is licensed by the author under Creative Commons Attribution 2.0 License.

If you believe this image is unlawfully reproduced please contact Radiopaedia.org. 

Images Changes:

Image ( update )

Description was removed:
Blue Sail Image courtesy of McKay Savage. (http://flickr.com/photos/56796376@N00) This file is licensed by the author under Creative Commons Attribution 2.0 License. If you believe this image is unlawfully reproduced please contact Radiopaedia.org.
Single Or Stack Root was set to .

Updates to Case Attributes

Body was changed:

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

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

  • -<p>There is elevated anterior fat pad of the elbow due to joint effusion which is called <strong>sail sign.</strong></p><p>In adults, this is usually a <a href="/articles/radial-head-fractures">radial head fracture</a> whereas in children, the commonest cause of a raised elbow fat pad is a <a href="/articles/supracondylar-fracture">supracondylar fracture</a>.  Where a fat pad is raised and no fracture is demonstrated, an <a href="/articles/occult-fracture">occult fracture</a> should be suspected.</p>
  • +<p>There is elevated anterior fat pad of the elbow due to joint effusion which is called <a title="Sail sign (elbow)" href="/articles/sail-sign-elbow-1">sail sign</a>.</p><p>In adults, this is usually a <a href="/articles/radial-head-fractures">radial head fracture</a> whereas in children, the commonest cause of a raised elbow fat pad is a <a href="/articles/supracondylar-humeral-fracture-2">supracondylar fracture</a>.  Where a fat pad is raised and no fracture is demonstrated, an <a href="/articles/occult-fracture">occult fracture</a> should be suspected.</p>

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