![]() ![]() Use a high frequency linear transducer for more superficial structures and higher resolution. ![]() Position the elbow in a 90-degree, flexed position this may also often be the position of comfort for the patient. However, plain radiographs may still miss these findings, and ultrasound can supplement your workup and assessment – pointing you to the appropriate treatment plan. One should also be sure to look at the anterior humeral line on the lateral view to ensure it intersects the middle third of the capitulum in children greater than five years of age if it does not, it may also indicate a supracondylar fracture. Rather, occult elbow fractures are often diagnosed by the presence of an enlarged triangularly shaped anterior fat pad known as the “sail sign” and/or the presence of a posterior fat pad. They are often subtle and may be missed on plain radiographs as a fracture line may not be detected. Garland Type I are non-displaced supracondylar fractures. These will require close reduction, orthopedic surgical consultation, and likely surgical pinning. Garland Type II to IV fractures are displaced and fairly obvious on radiographs. Supracondylar fractures in pediatrics are a common diagnosis in the emergency department. What are the findings and scanning technique used when evaluating the elbow joint with point-of-care ultrasound? The Traumatic Pediatric Elbow You notice an ultrasound machine by the bedside. She is otherwise neurovascularly intact, and the rest of the examination is unremarkable. The patient is able to actively pronate with only mild discomfort. On physical exam there is isolated tenderness of the left elbow, without any swelling, bruising, or open wounds. She has her left arm held in a fixed and adducted position. A 4- year-old girl comes in with her parents for evaluation of acute left arm pain after a fall from monkey bars. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |