Presentation
Fall out of a stationary car 2 weeks prior with persistent pain in the right elbow.
Patient Data
Age: 2 years
Gender: Female
From the case:
Supracondylar fracture of the humerus
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There is a non-displaced supracondylar fracture with associated joint effusion and prominent posterior fat pad. Smooth periosteal reaction is demonstrated overlying the distal humerus which is suggestive of early healing.
Case Discussion
The posterior fat pad sign in pediatric trauma is indicative of a supracondylar fracture. In this case of delayed presentation, further confirmation is provided by the smooth periosteal reaction visible overlying the distal humerus.
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