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Radial head fracture - Fat pads - Lateral This is the commonest elbow fracture in adults The fracture line is not visible on the lateral view in this case The effusion - indicated by raised fat pads - is the only visible sign of injury and in the context of trauma should be taken to indicate an undisplaced intra-capsular fracture (Same patient as image below)
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Radial head fracture - AP (Same patient as image above) The AP view shows a fracture line which extends to the articular surface of the radial head
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Radial head fracture - Subtle - Lateral view Abnormality of bone associated with elbow fractures can be very subtle Here the effusion is easily recognised. This should prompt a hunt for a fracture There is subtle buckling of the radial head cortex anteriorly (Same patient as image below)
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Radial head fracture - Subtle - AP view (Same patient as image above) The subtle buckling of the radial head cortex is seen again on the AP view