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ONLINE LESSON 1: IDENTIFYING RADIAL HEAD FRACTURES By: Dr. Kenneth Fortgang

Health & Medicine Education

KENNETH C. FORTGANG, MD ,[object Object]

UNIV OF SOUTHERN CAL/LAC; SURGICAL INTERNSHIP

USC/LACOUNTY; RADIOLOGY RESIDENCY AND INTERVENTIONAL FELLOWSHIP

NORTH BROWARD HOSPITAL DISTRICT; LEVEL I AND LEVEL II TRAUMA CENTERS

RADIAL HEAD FRACTURES Kenneth C. Fortgang, MD Medical Director Premier Radiology Services

U L N A R A D I U S TROC CAP H U M E R U S Anatomy ©Ken L Schreibman, PhD/MD 2003

H U M E R U S U L N A TROC OLECRANON CORONOID Anatomy ©Ken L Schreibman, PhD/MD 2003 R A D I U S CAP

Fat Pads H U M E R U S CAP Anterior Fad Pad (Coronoid Fossa) Posterior Fad Pad (Olecranon Fossa) ©Ken L Schreibman, PhD/MD 2003 U L N A R A D I U S

Systematic Approach to Musculoskeltal Radiographs ,[object Object]

Look for sail sign and posterior fat pad

$If these signs are present but no fracture is identified, radial head fracture is likely.$

$Look for a fracture line and contour deformity$

$Radiographic Signs of Radial head fracture on Lateral view$

$Radial head fracture types ,[object Object]$

Very rare complication for radial head fracture and even other trauma (elbow dislocation, radius/cubitus shaft fracture,…) Lost of range of motion and specifiquely for pronosupine Lot of treatment in litterature as: - preventive irradiation - resection without interposition - resection/interposition - resection wo interposition + irradiation - resection/interposition + irradiation Still no consensus

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