Fracture of radial head in a 38 year old female.
Fracture of Radial Head
Anteroposterior view above shows fracture of radial head.
Fracture of Radial Head - Lateral View
The lateral view shows comminution as well. [Read more...]
Anteroposterior and Lateral Xrays of Elbow Showing Fracture of Radial Head
June 3, 2011 by Leave a Comment
AP and Lateral View Of Xrays of Dislocation Of Elbow
May 23, 2011 by Leave a Comment
35 years old female fell on her hand and her elbow dislocated. Here is anteroposterior view of the dislocated elbow.
Anteroposterior View Of Dislocation Of Elbow
The dislocation is more evident in lateral view [Read more...]
Comminuted Fracture Of Olecronon Process Of Ulna
April 6, 2011 by Leave a Comment
This xray was brought to the OPD for opinion. The patient was 85 year old lady who was struck by a motorbike and fell down.
The xray showed a comminuted fracture of olecronon that consisted of two large fragments, sparated from ulna and from each other.
Commonuted Fracture of Olecronon
The person was advised to bring the patient so that she could be assessed but never showed up.
Note:
It is a rare kind of fracture and would definitely require a surgical intervention.
Fracture Of Lateral Condyle of Humerus In A Child – Anteroposterior and Lateral Views
June 19, 2010 by 1 Comment
Fracture of lateral condyle is a very common fracture in the children. Following xray is of an eleven year old boy who fell down while playing.
On left hand side is the lateral view which also shows dislocation of elbow whereas on right hand side is anteroposterior view.
The boy was treated with open reduction and internal fixation using three kwires.
AP and Lateral Views of Intercondylar Fracture of Humerus
October 25, 2009 by Leave a Comment
Intercondylar fracture of humerus is an intra-articular injury that almost always requires operative intervention.
The xrays are of 37 years old male who sustained injury in a fall following motor vehicle accident.
Radial Head Fractures – Treatment Options
April 2, 2009 by Leave a Comment
In planning the treatment for radial head fractures a detailed assessment of injuries should be made. The choice of the treatment depends upon patient’s demands, associated medical conditions and conditions, and associated injuries. For operative treatment, further investigations like CT scan can be done to know fracture configuration.
Here is general outline of the treatment options. The treatment needs to be individualized, however.
Type I
These fractures are undisplaced or displacement of the fracture is less than 2 mm). They do not need to be reduced and heal well by conservative treatment.
The patient can be treated in a simple arm sling or splint depending upon the soft tissue trauma. Active forearm mobilization followed by physiotherapy helps to restore usually good to excellent function.
Some patients might complain slight loss of extension. [Read more...]
Radial Head Fractures – Clinical Presentation and Treatment
March 15, 2009 by 2 Comments
A fracture of the head of radius presents with pain and swelling in the elbow region. There may be associated injuries to the structures in the neighborhood. These include distal humeral region, upper end of ulna. Radial head fractures are seen in quite a number of elbow dislocations.
The diagnosis may be difficult to make on clinical examination. Radiograms are required to confirm the diagnosis.X-rays in the anteroposterior, lateral, and oblique planes of the elbow are usually sufficient to diagnose the fracture. [Read more...]
Xray of Supracondylar Fracture of Humerus In A Child
March 6, 2009 by Leave a Comment
Suprcondylar fracture of humerus AP & lateral views. Click the image to enlarge.
Supracondylar fractures of humerus are very common injuries in children. These injuries frequently result when the child falls on outstretched hand.
Supracondylar region in children is weaker in children as the part is growing.
The xrays in the picture are anteroposterior and lateral views of elbow of seven year old child who sustained injury after he fell from a tree.
Fracture humerus can be divided in to three grades as suggested by Gartland.
This is type I Gartland fracture of supracondylar region of humerus.
Grade 2 and grade 3 fractures are more severe. [Read more...]
Classification and Treatment of Olecranon Fractures
February 27, 2009 by Leave a Comment
Several methods have been used to classify fractures of the olecranon. One classification classifies the fractures based on the area of the articular involvement, dividing the articular surface into thirds. While simple, this kind of classification does not provide any guidance to the treatment. A classification method by Colton groups factures on basis of displacement and the anatomy of the fracture. It therefore, provides guidance to the treatment.
Colton’s classification divides the olecranon fracture into following types
Nondisplaced/Stable
Undisplaced or Displacement less than 2 mm
Displacement does not increase with elbow flexion. Elbow extensor mechanism remains intact.
Displaced fractures
A. Avulsion fractures
B. Transverse/oblique fractures
C. Isolated comminuted fractures
D. Fracture/dislocations [Read more...]
Fractures of Olecranon
February 25, 2009 by Leave a Comment
Upper End of Ulna
Anatomy
The olecranon process is a large curved eminence comprising the proximal and posterior portions of the ulna. Because it lies beneath the skin, it is very vulnerable to direct trauma.
Together with coronoid process, the olecranon forms the articular surface for articulation with the trochlea. This articulation allows movement only in anteroposterior plane.
Triceps tendoninserts into the olecranon posteriorly. Before this it covers the joint capsule and forms an aponeurosis by spreading the overlying fascia.
Mechanism of Injury
Direct trauma for example a fall or blunt trauma on the posterior tip of the elbow.
Indirect trauma is caused by indirect avulsion during a fall on a partially flexed elbow. [Read more...]
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