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Congress: ECR24
Poster Number: C-18164
Type: EPOS Radiologist (educational)
Authorblock: J. F. Rojas, M. J. Garfias, H. Trigueros Buil, D. P. Cañon Murillo, P. Tallon, E. Calabuig, Y. Aviles Vistorte, A. P. Ruiz De Temiño, D. F. Ferrández; Alicante/ES
Disclosures:
Juan Felipe Rojas: Nothing to disclose
Maria Javiera Garfias: Nothing to disclose
Helena Trigueros Buil: Nothing to disclose
Diana Patricia Cañon Murillo: Nothing to disclose
Paloma Tallon: Nothing to disclose
Elena Calabuig: Nothing to disclose
Yanne Aviles Vistorte: Nothing to disclose
Alvaro Palazón Ruiz De Temiño: Nothing to disclose
David Ferrández Ferrández: Nothing to disclose
Keywords: Musculoskeletal bone, Paediatric, Digital radiography, Education, Education and training, Trauma
Learning objectives To provide an overview of pediatric elbow fractures and propose a step- by – step approach for their assessment through plain radiography.Use Illustrated radiological images to explain anatomical differences at various ages and the most important radiological signs that allow us to recognize and classify different fractures.
Read more Background Elbow fractures are one of the most common traumatic lesions among young children in pediatric emergency care.Despite the advances on modern radiology, to this day, elbow radiograph remains as the most important diagnostic imaging modality, which can result challenging even to experienced radiologists due to their subtlety, location, and the continuing anatomical changes in the growing skeleton.However, besides these difficulties, when using a systematic approach, elbow radiographs are not as hard to interpret as most people think. Hence, we propose...
Read more Findings and procedure details   Radiological Technique Two standard projections are always required to properly assess the elbow, and we should never underestimate the importance of the adequate radiologic technique. (Fig 1). AP in full extension: Shows the epicondyle, trochlea, olecranon fossa, humeral condyle, and radial head. The coronoid process is seen frontally, and the olecranon overlaps the trochlea. (Fig 1. A) In a normal situation, the epicondyle will be partially covered by part of the humeral metaphysis. Lateral with 90° of flexion: Shows the distal humeral diaphysis,...
Read more Conclusion Pediatric elbow fractures pose a diagnostic challenge, as they can go unnoticed if radiographs are not adequately evaluated.A systematic assessment of plain elbow radiography, taking into account anatomical changes in ossification centres, along with the identification of radiological signs such as the fat pad sign and joint alignment, is essential for an accurate diagnosis.
Read more References Traumatic Elbow Injuries: What the Orthopedic Surgeon Wants to Know. Scott E. Sheehan, MD, MS •George S. Dyer, MD • Aaron D. Sodickson, MD, PhD • Ketankumar I. Patel, MBBS • Bharti Khurana,MD. RSNA, 2013.Radiologic Review of Total Elbow, Radial Head, and Capitellar Re- surfacing Arthroplasty. Jonelle M.Petscavage, MD, MPH • Alice S. Ha, MD • Felix S. Chew, MD. RSNA, 2012.Elbow - Fractures in Children. Robin Smithuis. Radiology department, Rijnland Hospital Leiderdorp,the Netherlands. Radiology Assistant 2008.
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