How to screen a paediatric elbow X-ray for injuries
Elbow injuries are common in the paediatric population. Diagnosing these injuries relies on X-rays taken on initial presentation in the emergency department. Interpreting these radiographs can occasionally be challenging, partly because of the sequential appearance of secondary ossification centres...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Health and Social Sciences Research Institute - South Sudan (HSSRI-SS)
2021-02-01
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| Series: | South Sudan Medical Journal |
| Subjects: | |
| Online Access: | https://bit.ly/2TiEIDh |
| _version_ | 1797967549232578560 |
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| author | Brian Madison Patrick Tshizubu |
| author_facet | Brian Madison Patrick Tshizubu |
| author_sort | Brian Madison |
| collection | DOAJ |
| description | Elbow injuries are common in the paediatric population. Diagnosing these injuries relies on X-rays taken on initial presentation in the emergency department. Interpreting these radiographs can occasionally be challenging, partly because of the sequential appearance of secondary ossification centres in the paediatric elbow. We propose a methodical approach that would help a clinician identify these injuries, especially the radiographically subtle ones. Evaluating these X-rays should start with a lateral view which identifies the majority of elbow injuries. Anterior cortical disruption, fat pad sign, and the anterior humeral line can be evaluated on this view, and if present, alerts the clinician to a possible subtle fracture. On this view also, the clinician can evaluate the radio-capitellar line and then proceed to evaluate it again on the anteroposterior view. With this approach almost all fractures and dislocations around the elbow can be identified. |
| first_indexed | 2024-04-11T02:31:54Z |
| format | Article |
| id | doaj.art-f7bdb9cd4a3d41778f11f29a3259798e |
| institution | Directory Open Access Journal |
| issn | 2309-4605 2309-4613 |
| language | English |
| last_indexed | 2024-04-11T02:31:54Z |
| publishDate | 2021-02-01 |
| publisher | Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) |
| record_format | Article |
| series | South Sudan Medical Journal |
| spelling | doaj.art-f7bdb9cd4a3d41778f11f29a3259798e2023-01-02T21:10:46ZengHealth and Social Sciences Research Institute - South Sudan (HSSRI-SS)South Sudan Medical Journal2309-46052309-46132021-02-01141810How to screen a paediatric elbow X-ray for injuriesBrian Madison0Patrick Tshizubu 1Department of Orthopaedics and Trauma, Juba Teaching Hospital, South SudanCentre Hospitalier Universitaire de Kigali (CHUK)/ University Teaching Hospital of Kigali, Rwanda Elbow injuries are common in the paediatric population. Diagnosing these injuries relies on X-rays taken on initial presentation in the emergency department. Interpreting these radiographs can occasionally be challenging, partly because of the sequential appearance of secondary ossification centres in the paediatric elbow. We propose a methodical approach that would help a clinician identify these injuries, especially the radiographically subtle ones. Evaluating these X-rays should start with a lateral view which identifies the majority of elbow injuries. Anterior cortical disruption, fat pad sign, and the anterior humeral line can be evaluated on this view, and if present, alerts the clinician to a possible subtle fracture. On this view also, the clinician can evaluate the radio-capitellar line and then proceed to evaluate it again on the anteroposterior view. With this approach almost all fractures and dislocations around the elbow can be identified.https://bit.ly/2TiEIDhhumeral supracondylar fractureselbowanterior cortical disruptionanterior humeral linefat padradio-capitellar line |
| spellingShingle | Brian Madison Patrick Tshizubu How to screen a paediatric elbow X-ray for injuries South Sudan Medical Journal humeral supracondylar fractures elbow anterior cortical disruption anterior humeral line fat pad radio-capitellar line |
| title | How to screen a paediatric elbow X-ray for injuries |
| title_full | How to screen a paediatric elbow X-ray for injuries |
| title_fullStr | How to screen a paediatric elbow X-ray for injuries |
| title_full_unstemmed | How to screen a paediatric elbow X-ray for injuries |
| title_short | How to screen a paediatric elbow X-ray for injuries |
| title_sort | how to screen a paediatric elbow x ray for injuries |
| topic | humeral supracondylar fractures elbow anterior cortical disruption anterior humeral line fat pad radio-capitellar line |
| url | https://bit.ly/2TiEIDh |
| work_keys_str_mv | AT brianmadison howtoscreenapaediatricelbowxrayforinjuries AT patricktshizubu howtoscreenapaediatricelbowxrayforinjuries |