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Premier radiologypresentation1
- 1. ONLINE LESSON 1: IDENTIFYING RADIAL HEAD FRACTURES By: Dr. Kenneth Fortgang
- 3. UNIV OF SOUTHERN CAL/LAC; SURGICAL INTERNSHIP
- 4. USC/LACOUNTY; RADIOLOGY RESIDENCY AND INTERVENTIONAL FELLOWSHIP
- 5. NORTH BROWARD HOSPITAL DISTRICT; LEVEL I AND LEVEL II TRAUMA CENTERS
- 6. RADIAL HEAD FRACTURES Kenneth C. Fortgang, MD Medical Director Premier Radiology Services
- 10. U L N A R A D I U S TROC CAP H U M E R U S Anatomy ©Ken L Schreibman, PhD/MD 2003
- 11. H U M E R U S U L N A TROC OLECRANON CORONOID Anatomy ©Ken L Schreibman, PhD/MD 2003 R A D I U S CAP
- 12. Fat Pads H U M E R U S CAP Anterior Fad Pad (Coronoid Fossa) Posterior Fad Pad (Olecranon Fossa) ©Ken L Schreibman, PhD/MD 2003 U L N A R A D I U S
- 14. CAN YOU SEE THE FRACTURE?
- 15. CAN YOU SEE THE FRACTURE?
- 17. Alignment
- 18. Bone Contour
- 19. Margins
- 20. Density
- 22. Soft tissues
- 24. Look for sail sign and posterior fat pad
- 25. If these signs are present but no fracture is identified, radial head fracture is likely.
- 26. Look for a fracture line and contour deformity
- 27. Radiographic Signs of Radial head fracture on Lateral view
- 29. Type II: angulated or >2 mm displaced
- 30. Type III: comminuted
- 31. RADIAL HEAD FRACTURE WITH FAT PADS
- 32. Anterior and Posterior Fat Pad
- 33. Figure 1. Lateral radiograph shows a positive fat pad sign in a patient with a nondisplaced fracture of the radial head. Goswami G K Radiology 2002;222:419-420 ©2002 by Radiological Society of North America
- 35. No FAT PAD
- 36. FAT PADS
- 38. CT FRACTURE AND EFFUSION
- 39. EFFUSION
- 41. RADIAL NECK FRACTURE AND MINIMAL EFFUSION
- 42. RADIAL HEAD FRACTURE WITH EFFUSION
- 43. MRI EFFUSION TAKE THIS HOME
- 46. If elbow can’t be extended, obtain AP/lat of both humerus and forearm
Editor's Notes
- Type I: less than 2 mm displacement Type II: Angulation or >2 mm displacement Type III: comminuted
- Figure 1. Lateral radiograph shows a positive fat pad sign in a patient with a nondisplaced fracture of the radial head. The anterior lucency (arrow) represents the elevated anterior fat pad, and the posterior lucency (arrowhead) represents the elevated posterior fat pad.