Elbow pain after a fall. What do you see?
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Findings
Large joint effusion with the displacement of the anterior fat pad. Mild posterior soft tissue swelling over the olecranon. Fracture line along the lateral aspect of the radial neck. Radial head and articular surface are normal
Diagnosis
Nondisplaced radial head fracture
Teaching points
– Check not only the bones and joints but also the soft tissues
– Search and interpret the findings in two different positions
– Pain always withholds a story behind
Elevated anterior fat pad suspecious of radial head fracture
Fat pad sign after trauma: hemartros! Radiolucency on medial border of radial head suspicious for fracture.