Presentation
Fall with right sided elbow pain and reduced range of motion.
Patient Data
Age: 6 years
Gender: Male
From the case:
Radial neck and olecranon fracture
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Info
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Moderate joint effusion with elevation of the fat pads. Subtle, minimally displaced radial neck fracture and transverse olecranon fracture (on the AP view).
Case Discussion
Common pediatric injuries that cause elbow joint effusions include supracondylar, lateral condyle, and radial head and neck fractures. However, olecranon fractures are often found and frequently overlooked. They may only be visible on one view.
If there is an elbow fracture, look for an accompanying olecranon fracture. If there is an effusion and no clear cause, look for an olecranon fracture!