Presentation
Swollen right elbow (right handed) with tenderness on the radial side Painful flexion/extension and pronation/supination. No history of trauma or signs of neurovascular damage.
Patient Data
Age: 9 years
Gender: Male
From the case:
Panner disease
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Frontal
Frontal and dorsal fat pad sign (aka sail sign).
Radiolucent line through the growth plate of the capitellum.
From the case:
Panner disease
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Axial bone window
The presence of joint fluid is confirmed.
Air crescent is noted in the lateral aspect of the capitellum.
The entire growth plate is affected.
Case Discussion
The osteochondrosis of the capitellum (Panner disease) should be differentiated from osteochondritis dissecans (focal fragmentation).
Rare condition usually affecting boys under 10 years affecting the dominant upper limb.
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