Pediatric Elbow - Examination and X-rays
•
27 likes•21,894 views
Get a quick overview of children's elbow injuries and how to examine the child with a painful elbow injury. Find out more about hand and arm problems at http://www.noelhenley.com. Ozark Orthopaedic: Henley C Noel MD 3317 North Wimberly Drive, Fayetteville, AR 72703 (479) 521-2752
Recommended
More Related Content
Viewers also liked
Viewers also liked (20)
Recently uploaded
Recently uploaded (20)
Pediatric Elbow - Examination and X-rays
- 1. The Child’s Elbow C. Noel Henley, MD http://www.noelhenley.com
- 2. Acute Injury http://www.noelhenley.com
- 3. Acute Injury • Primary goals of initial evaluation of acute injury http://www.noelhenley.com
- 4. Acute Injury • Primary goals of initial evaluation of acute injury - assess neurovascular status http://www.noelhenley.com
- 5. Acute Injury • Primary goals of initial evaluation of acute injury - assess neurovascular status - determine urgency of reduction http://www.noelhenley.com
- 6. Radiographic Anatomy http://www.noelhenley.com
- 7. Radiographic Anatomy • Centers of secondary ossification http://www.noelhenley.com
- 8. Radiographic Anatomy • Centers of secondary ossification - predictable order http://www.noelhenley.com
- 10. Radiographic Anatomy http://www.noelhenley.com
- 11. Radiographic Anatomy • Multiple ossification centers may be mistaken for a fracture http://www.noelhenley.com
- 12. Radiographic Anatomy • Multiple ossification centers may be mistaken for a fracture • Radiographs of the opposite elbow may help http://www.noelhenley.com
- 13. Radiographic Anatomy http://www.noelhenley.com
- 14. Radiographic Anatomy • Relationships to look for http://www.noelhenley.com
- 15. Radiographic Anatomy • Relationships to look for - capitellum should always line up with radial head - if not... http://www.noelhenley.com
- 16. Radiographic Anatomy • Relationships to look for - capitellum should always line up with radial head - if not... • lateral condyle fracture http://www.noelhenley.com
- 17. Radiographic Anatomy • Relationships to look for - capitellum should always line up with radial head - if not... • lateral condyle fracture • Monteggia fracture http://www.noelhenley.com
- 18. Radiographic Anatomy • Relationships to look for - capitellum should always line up with radial head - if not... • lateral condyle fracture • Monteggia fracture • elbow dislocation http://www.noelhenley.com
- 20. Radiographic Anatomy http://www.noelhenley.com
- 21. Radiographic Anatomy • Relationships to look for http://www.noelhenley.com
- 22. Radiographic Anatomy • Relationships to look for - anterior humeral line http://www.noelhenley.com
- 23. Radiographic Anatomy • Relationships to look for - anterior humeral line • should bisect the capitellum on a lateral radiograph - if not... http://www.noelhenley.com
- 24. Radiographic Anatomy • Relationships to look for - anterior humeral line • should bisect the capitellum on a lateral radiograph - if not... - suspect a supracondylar humerus fracture http://www.noelhenley.com
- 28. Examination • Tips on examining the painful child http://www.noelhenley.com
- 29. Examination • Tips on examining the painful child - observation http://www.noelhenley.com
- 30. Examination • Tips on examining the painful child - observation • arm/elbow held close? http://www.noelhenley.com
- 31. Examination • Tips on examining the painful child - observation • arm/elbow held close? • elbow flexed/extended/pronated? http://www.noelhenley.com
- 32. Examination • Tips on examining the painful child - observation • arm/elbow held close? • elbow flexed/extended/pronated? • bruising, dimpling of skin (esp. anterior elbow)? http://www.noelhenley.com
- 34. Examination • Tips on examining the painful child http://www.noelhenley.com
- 35. Examination • Tips on examining the painful child - palpation (joint above, joint below, too) http://www.noelhenley.com
- 36. Examination • Tips on examining the painful child - palpation (joint above, joint below, too) • start with other side http://www.noelhenley.com
- 37. Examination • Tips on examining the painful child - palpation (joint above, joint below, too) • start with other side • lateral, medial “bones” + olecranon process + radial head/neck http://www.noelhenley.com
- 38. Examination • Tips on examining the painful child - palpation (joint above, joint below, too) • start with other side • lateral, medial “bones” + olecranon process + radial head/neck • pain worse with pro/sup than with flex/ extension? http://www.noelhenley.com
- 39. Thanks! Find out more at http://www.noelhenley.com www.noelhenley.com
Editor's Notes
- \n
- \n
- \n
- \n
- \n
- \n
- - capitellum usually by 1yo\n- lateral condyle usually last (10yo)\n
- \n
- \n
- \n
- \n
- \n
- \n
- \n
- - capitellum and radial head line up on all views\n
- - fat pad may be helpful but...\n- small anterior fat pad on lateral may be normal; posterior fat pad should not be visible (indicates an intra-articular injury 90% of the time)\n
- - fat pad may be helpful but...\n- small anterior fat pad on lateral may be normal; posterior fat pad should not be visible (indicates an intra-articular injury 90% of the time)\n
- - fat pad may be helpful but...\n- small anterior fat pad on lateral may be normal; posterior fat pad should not be visible (indicates an intra-articular injury 90% of the time)\n
- - fat pad may be helpful but...\n- small anterior fat pad on lateral may be normal; posterior fat pad should not be visible (indicates an intra-articular injury 90% of the time)\n
- - capitellum and radial head line up on all views\n
- - capitellum and radial head line up on all views\n
- \n
- \n
- \n
- \n
- \n
- - tenderness often well-localized in elbow fractures. \n- radial neck fractures may be subtle (no fat pad [extra-capsular], xrays look OK)\n
- - tenderness often well-localized in elbow fractures. \n- radial neck fractures may be subtle (no fat pad [extra-capsular], xrays look OK)\n
- - tenderness often well-localized in elbow fractures. \n- radial neck fractures may be subtle (no fat pad [extra-capsular], xrays look OK)\n
- - tenderness often well-localized in elbow fractures. \n- radial neck fractures may be subtle (no fat pad [extra-capsular], xrays look OK)\n
- - tenderness often well-localized in elbow fractures. \n- radial neck fractures may be subtle (no fat pad [extra-capsular], xrays look OK)\n
- \n