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Elbow complaints are frequently encountered in the emergency setting. Mechanism of injury often involves direct trauma or a fall on the outstretched hand and arm. Abnormal findings on elbow radiographs can be challenging to identify, thus a systematic approach is essential to identify subtle findings especially with occult fractures. Maintaining a high index of suspicion, identification of normal and abnormal fat pad signs, and proper alignment of specific anatomical lines on elbow radiographs can assist in the identification of hidden fractures. Key words: anterior humeral line, elbow fractures, fat pads, radiocapitellar line LBOW fracture is a generic term used condylar fractures of the distal humerus, ra- in the description of a number of dif- dial head fractures, olecranon fractures, and E ferent fracture types for patients who Monteggia fractures, which are defined as present to emergency settings with elbow in- a combination of a radial head dislocation juries. With all of these fractures, the com- with a fracture of the proximal ulna. Al- monality lies in the presentation of pain and though the radiographic features are distinct acute swelling at the elbow. In most cases, for each fracture type, the initial evaluation, the patient will resist movement. intervention, and
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Apr 1, 2012
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