Olecranon and radial neck fractures

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Fall directly onto elbow. Unable to extend fully.

Patient Data

Age: 12 years
Gender: Male
Lateral
Frontal
Oblique
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Info

There is a transverse lucency running through the olectranon and a fracture through the medial portion of the radial neck extending to the physis. Both are intra-articular fractures, hence the elbow effusion.

Case Discussion

Features here are of an undisplaced olecranon fracture.  The olecranon is ossifying, but at its base, there is a transvese lucency (best seen on the lateral film) consistent with a fracture.

In addition, there is a radial neck fracture and an elbow effusion.

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