Adult elbow radiograph (an approach) | Radiology Reference ...

Check for raised fat pads: visible posterior fat pad always indicates an elbow effusion. visible anterior fat pad may be seen in normal patients and should only be thought of as an indicator of an elbow effusion when massively raised. if there is an effusion in an adult patient, think: acute intra-articular fracture and go looking for it.

Mnemonic Approach to Elbow Xray - FOOL | Epomedicine

Raised anterior fat pad (Sail sign) indicates elbow effusion – should arise suspicion of undisplaced radial head facture if a fracture cannot be identified. Fractures may be present without fat pads, e.g. Radial neck, Medial epicondyle or Olecranon tip.

Fat pad sign - Wikipedia

The fat pad sign, also known as the sail sign, is a potential finding on elbow radiography which suggests a fracture of one or more bones at the elbow. It is may indicate an occult fracture that is not directly visible. Its name derives from the fact that it has the shape of a spinnaker (sail). It is caused by displacement of the fat pad around the elbow joint.

Fat Pad Signs in Elbow Trauma - Idaho State University

If the fat pad is evident, further study may be warranted to investi-gate injury. (See Fig. 1-B2.) Technique is of paramount importance to evaluate the soft tissue adjacent to these areas. Fig. 1. A. Normal fat pad signs. 1. Anterior fat pad sign. 2. Location of pos-terior fat pad, not visible on a correctly positioned lateral elbow. B ...

The Elbow

Consequently raised fat pads won't be visualised. Anterior humeral line On a lateral projection, when a line is drawn along the anterior surface of the humeral cortex and extended, it should pass through the middle third of the capitellum (as the articulating surfaces of the distal humerus are offset anteriorly):

How to read an elbow x-ray - Emergency Medicine Education ...

There is no obvious anterior or posterior fat pad, and the radio-capitellar line is intact. The radial head and distal humerus appear fine, while there is an obvious proximal olecranon fracture. Use this systematic approach to the elbow radiograph to avoid missing occult fractures of the elbow.

Elbow and Forearm | Radiology Key

Elbow fat pads. ( a) Note the position of the normal anterior fat pad ( arrow ). The posterior fat pad is not visible on normal 90° flexed elbows. ( b) In this patient with fluid in the joint from an injury, both the anterior and posterior fat pads ( arrows) are elevated. ( c) Normal supinator fat pad.

Trauma X-ray - Upper limb - Elbow

Raised fat pad sign. If the anterior fat pad is raised away from the humerus, or if a posterior fat pad is visible between triceps and the posterior humerus, then this indicates a joint effusion. In the setting of trauma this is due to haemarthrosis (blood in the joint) secondary to a bone fracture. This is often the only X-ray sign of a bone ...

Sail sign (elbow) | Radiology Reference Article ...

Elevation of the anterior fat pad usually heralds the presence of an intra-articular fracture. In adults, this is usually a radial head fracture whereas in children, the commonest cause of a raised elbow fat pad is a supracondylar fracture. Where a fat pad is raised and no fracture is demonstrated, an occult fracture should be suspected. Video ...

Posterior fat pad sign (elbow) | Radiology Reference ...

The posterior fat pad sign is the visualization of a lucent crescent of fat located in the olecranon fossa on a true lateral view of an elbow joint with the elbow flexed at a right angle indicating an elbow joint effusion.. Normally, the posterior fat pad will not be seen in this view. In the setting of trauma, it suggests an occult non-displaced fracture. In children, a supracondylar …

Elbow joint effusion (sail sign) | Radiology Case ...

There is elevated anterior fat pad of the elbow due to joint effusion which is called sail sign. In adults, this is usually a radial head fracture whereas in children, the commonest cause of a raised elbow fat pad is a supracondylar fracture. Where a fat pad is raised and no fracture is demonstrated, an occult fracture should be suspected.

Elbow effusion: the fat pads | Radiology Case ...

The majority of elbow effusions occur in the context of a fracture. In this case the effusion relates to repeated localized trauma. Nevertheless it does well illustrate raised fat pads of the elbow indicating a joint effusion.

Emergency Department Elbow injury in children (fat pad sign)

A fat pad sign is when the normal pad of fat that sits around the bones in the elbow becomes raised up. This is usually due to swelling in that part of the elbow. This can be caused by damage to the ligaments in the elbow, or sometimes by a small fracture (break) to one of the elbow bones that can't be seen on an X-ray. The reason it can't ...

Pediatric elbow radiograph (an approach) | Radiology ...

visible anterior fat pad may be seen in normal patients and should only be thought of as an indicator of an elbow effusion when massively raised if there is an effusion in a pediatric patient, think supracondylar fracture or intra …