HOW TO READ ELBOW HOW TO READ ELBOW
TRAUMA X-RAYTRAUMA X-RAY
AP (adult)
1. Lucent fracture line or
cortical disruption
2. Normal articulation
A.Radial head aligned with
the capitellum
B.Ulna aligned with the
trochlea
C.Radius articulating with
ulna
AP (child)
+
1. Radiocapitellar line
2. Ossification centers
Radiocapitellar line
Ossification centers
II
TT
OO
LL
CC
CC
RR
RR
CRITOL
Lateral (adult)
1. Lucent fracture line
or cortical disruption
2. Normal articulation
A.Radial head aligned
with the capitellum
B.Ulna congruent with
trochlea
3. Fat pad sign
Fat pad sign
Fat pad sign
Spinnaker Sail sign
Lateral (child)
+
1. Radiocapitellar line
2. Ossification centers
3. Anterior humeral line
Fat pad sign
Radiocapitellar line
Ossification centers
ANTERIOR HUMERAL LINE
Hockey-stick appearance of distal humerus
Anterior humeral line
Anterior humeral line
ADDITIONAL VIEWS
AP medial rotation
AP lateral rotation
Lateral view
Pronation
Neutral
Hand internal rotation
Supination