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Normal Elbow X-Ray Report Template
Normal elbow radiograph report template: anterior humeral and radiocapitellar lines, fat pads and joint spaces, with occult fracture and effusion wording notes.
EXAMINATION: Elbow radiograph, [right/left], 2 views. CLINICAL HISTORY: [indication] COMPARISON: None available. TECHNIQUE: AP and lateral views of the [right/left] elbow. FINDINGS: Alignment: Anatomic. The anterior humeral line intersects the middle third of the capitellum. The radiocapitellar line is maintained on both views. Bones: No acute fracture. The distal humerus, radial head and neck, olecranon and coronoid process are intact. Joints: Joint spaces are preserved. No significant degenerative change. Fat pads: Normal anterior fat pad. No posterior fat pad visible. No joint effusion. Soft tissues: Unremarkable. IMPRESSION: 1. No acute fracture or dislocation. No joint effusion.
Dictation notes
- A visible posterior fat pad is a joint effusion, and in trauma an occult fracture until proven otherwise — radial head in the adult, supracondylar in the child; say so in the impression.
- Check the radiocapitellar line on every view, not just the lateral — the radial head points at the capitellum in all positions, and an isolated dislocation is the classic miss.
- In children, know the CRITOE ossification sequence — a “trochlea” appearing before the internal (medial) epicondyle is an avulsed epicondyle trapped in the joint.
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