$posterior fat pad sign supracondylar fracture$

In adults, look for a radial head fracture 4. In children, it most often indicates a supracondylar fracture, other common fractures are those of the proximal ulna, lateral condyle, and radial neck 3. In the setting of trauma, it suggests an occult non-displaced fracture. These centres of ossification become visible from 6 months to 12 years of age and in early adulthood fuse to the humerus, radius or ulna. Normally, the posterior fat pad will not be seen in this view 2. Typically there is ossification in the following order - Capitulum ( C), Radial head ( R), Internal epicondyle ( I), Trochlea ( T), Olecranon ( O) and External/Lateral epicondyle ( L). The lateral view (left image) reveals elevation of the anterior fat pad (sail sign) and appearance of the posterior fat pad (arrowheads). Elbow developmentīone structures at the elbow develop within multiple cartilaginous ossification centres. There are important considerations when dealing with elbow injuries in children. considerations, nondisplaced supracondylar humerus fractures may present with an iso- lated, positive posterior fat pad sign.20. Elbow injuries often have characteristic radiological appearances, which may only be detected by the presence of soft tissue abnormalities. I - Internal epicondyle (or medial epicondyle)Īn awareness of normal X-ray appearances of the elbow is essential for the identification of elbow injuries. Posterior fat pad sign (highly suggestive of fracture whereas anterior fat pad sign can occur without fracture) AHL.Order of elbow ossification centre development An awareness of elbow development is essential when considering paediatric elbow injuries Elbow fractures are more common in the pediatric population than in the adult population.

$posterior fat pad sign supracondylar fracture$

Soft tissue abnormality is often the only evidence of bone injury.Contributed by Wajeeha Saeed, MD From: Elbow Fractures Overview Copyright © 2023, StatPearls Publishing LLC. Elbow injuries have characteristic appearances Show details Posterior fat pad sign (supracondylar fracture).

$posterior fat pad sign supracondylar fracture$

Posterior fat pad sign supracondylar fracture