How to Never Miss an Elbow Fracture Again: A Radiographic Roadmap

Link to YouTube VideoWe explore the essential techniques for accurately interpreting elbow X-rays, focusing on key lines, fat pad signs, and common fracture patterns that help reveal hidden injuries.• Standard elbow series includes AP, lateral, and oblique views, with the lateral being the most critical "money shot"• Two essential lines to draw: anterior humeral line (should pass through middle third of capitellum) and radiocapitellar line (should bisect the capitellum)• Fat pad signs are crucial indicators – posterior fat pads are NEVER normal and always indicate pathology• Pediatric injuries typically involve supracondylar fractures (60% of all pediatric elbow fractures)• Adult injuries commonly involve radial head fractures, with 20-40% showing only fat pad signs initially• Always check and document neurovascular status before and after any intervention• Displaced or comminuted fractures require urgent orthopedic consultation• Simple non-displaced fractures can be splinted with outpatient orthopedic follow-upCheck out the complete lecture and more educational content coming soon to the Invictus Board Review site.