Radial head occult fracture

Case contributed by Andrea Molinari
Diagnosis certain

Presentation

Motorcycle accident

Patient Data

Age: 25 years
Gender: Male
x-ray

A triangular radiolucent area is observed along the anterior humeral line: finding compatible with the elevation of the anterior elbow fat pad secondary to joint effusion (sail sign).

No clear fracture is demonstrated.

ct

CT scan reveals a compound, intra-articular, longitudinal course fracture of the radial head.

Case Discussion

The sail sign in the traumatic context raises the suspicion of a radial head fracture.

In the current case, a retrospective analysis of the X-ray reveals an extremely subtle radiolucent line matching the much more obvious fracture evident on the CT scan.

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