Elbow X-ray (peds): Difference between revisions
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==Reading Film== | ==Reading Film== | ||
*Anterior humeral line should intersect with middle third of capitellum | *Anterior humeral line should intersect with middle third of capitellum | ||
**If not, consider supracondylar fracture or lateral condyle fracture | **If not, consider [[supracondylar fracture]] or [[lateral condyle fracture]] | ||
*Line drawn along axis of radial head and neck should pass through middle of capitellum | *Line drawn along axis of radial head and neck should pass through middle of capitellum | ||
**If not, consider fracture of lateral condyle, radial neck, Monteggia, or elbow dislocation | **If not, consider [[fracture of lateral condyle]], [[radial neck]], [[Monteggia]], or [[elbow dislocation]] | ||
*Fat | *Fat pads | ||
**Anterior may be normal or if large may be abnormal ("sail sign") | **Anterior may be normal or if large may be abnormal ("sail sign") | ||
**Posterior is always abnormal | **Posterior is always abnormal | ||
Revision as of 07:36, 19 December 2016
Elbow Ossification by Age (CRITOE)
| Ossification Center | Age of Appearance (add 1yr for boys) | Age at Fusion |
| Capitellum | 1yr | 12-14 yrs |
| Radial head | 3yr | 14-16 yrs |
| Internal epicondyle | 5yr | 16-18 yrs |
| Trochlea | 7yr | 12-14 yrs |
| Olecranon | 9yr | 15-17 yrs |
| External epicondyle | 11yr | 12-14 yrs |
Reading Film
- Anterior humeral line should intersect with middle third of capitellum
- If not, consider supracondylar fracture or lateral condyle fracture
- Line drawn along axis of radial head and neck should pass through middle of capitellum
- If not, consider fracture of lateral condyle, radial neck, Monteggia, or elbow dislocation
- Fat pads
- Anterior may be normal or if large may be abnormal ("sail sign")
- Posterior is always abnormal