Neck of radius fracture

Case contributed by Wayland Wang
Diagnosis certain

Presentation

Fall on outstretched hand (FOOSH).

Patient Data

Age: 45 years
Gender: Male
x-ray
Oblique
Lateral
Download
Info

There is a fracture through the neck of the proximal radius, resulting in a moderate elbow joint effusion and an anterior "sail sign".

Case Discussion

The anterior and posterior sail signs, in this case, set off a search for a culprit fracture in the setting of trauma. In the adult setting, the most frequent site is the proximal radius at the head or the neck of the radius. Careful scrutiny of the oblique projection reveals a minimally displaced fracture through the neck of the radius.

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