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Fat pad sign

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Rheumatoid Arthritis, osteomyelitis of the distal humeral physis and secondary septic joint). In these instances, history and clinical examination in addition laboratory results (WBC, ESR, CRP) will guide the provider in determining whether to treat the condition as an occult fracture or continue workup for other pathology.
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The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the
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The fat pad sign is invaluable in assessing for the presence of an intra-articular fracture of the elbow. An anterior fat pad is often normal. However a posterior fat pad seen on a lateral x-ray of the elbow is always abnormal. The patient will be unable to flex their elbow and requires orthopaedic
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In addition to fracture, any process resulting in an elbow joint effusion may also demonstrate an abnormal fat pad sign. Increased intracapsular fluid is also seen in several conditions other than fracture and this produces the abnormal fat pad sign. (toxic synovitis, septic arthritis, Juvenile
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fat pad out of its normal physiologic resting place. This is visible as the "posterior fat pad sign" and is often the only visible marker of a fracture, particularly in the pediatrics population.
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Fat pad sign: Ventral fat pad bowed and dorsal fat pad visible in a case of a nondisplaced fracture of the radius head which is not visible directly.
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that is not directly visible. Its name derives from the fact that it has the shape of a
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In children, a posterior fat pad sign suggests a condylar fracture of the
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A subtle radial head fracture with associated positive sail sign
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fat pad signs exist, and both can be found on the same X-ray.
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of one or more bones at the elbow. It is may indicate an
485: 417: 384: 366: 288: 260: 42:A normal anterior fat pad in a non-fractured arm. 27:Elbow radiography finding indicating a fracture 238: 8: 245: 231: 223: 143: 94:. It is caused by displacement of the 7: 404:Fat pad sign/Sail sign of the elbow 151:Chapman S (1991). "The sail sign". 518:Musculoskeletal radiographic signs 78:, is a potential finding on elbow 25: 497:Hyperdense middle cerebral artery 50:Anterior sail signs as well as 98:around the elbow joint. Both 1: 113:. In adults it suggests a 534: 179:"RSNA Publications Online" 467:Pneumatosis intestinalis 348:Traction bronchiectasis 203:Goswami, MD, Gaurav K. 328:Sail sign of the chest 67: 59: 56:supracondylar fracture 43: 35: 18:Sail sign of the elbow 323:Peribronchial cuffing 65: 49: 41: 33: 376:Canga's bead symptom 74:, also known as the 409:Osteopathia striata 205:"The Fat Pad Sign" 68: 60: 54:in a child with a 44: 36: 505: 504: 452:Hot quadrate sign 298:Air crescent sign 275:Dense artery sign 82:which suggests a 52:posterior fat pad 16:(Redirected from 525: 419:Gastrointestinal 353:Tree-in-bud sign 303:Deep sulcus sign 270:Aortic unfolding 254:Radiologic signs 247: 240: 233: 224: 217: 216: 214: 212: 200: 194: 193: 191: 190: 181:. Archived from 175: 169: 168: 148: 92:spinnaker (sail) 21: 533: 532: 528: 527: 526: 524: 523: 522: 508: 507: 506: 501: 481: 413: 386:Musculoskeletal 380: 362: 358:Westermark sign 343:Thumbprint sign 333:Silhouette sign 284: 256: 251: 221: 220: 210: 208: 202: 201: 197: 188: 186: 177: 176: 172: 150: 149: 145: 140: 131: 129:Pathophysiology 88:occult fracture 28: 23: 22: 15: 12: 11: 5: 531: 529: 521: 520: 510: 509: 503: 502: 500: 499: 494: 491: 489: 483: 482: 480: 479: 474: 469: 464: 459: 454: 449: 447:Hampton's line 444: 439: 437:Endoexoenteric 434: 429: 423: 421: 415: 414: 412: 411: 406: 401: 396: 390: 388: 382: 381: 379: 378: 372: 370: 364: 363: 361: 360: 355: 350: 345: 340: 335: 330: 325: 320: 315: 310: 305: 300: 294: 292: 286: 285: 283: 282: 277: 272: 266: 264: 262:Cardiovascular 258: 257: 252: 250: 249: 242: 235: 227: 219: 218: 195: 170: 159:(6): 399–400. 142: 141: 139: 136: 130: 127: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 530: 519: 516: 515: 513: 498: 495: 493: 492: 490: 488: 484: 478: 477:Sentinel loop 475: 473: 472:Rigler's sign 470: 468: 465: 463: 460: 458: 457:Mumoli's sign 455: 453: 450: 448: 445: 443: 442:Football sign 440: 438: 435: 433: 432:Double bubble 430: 428: 425: 424: 422: 420: 416: 410: 407: 405: 402: 400: 397: 395: 394:Crescent sign 392: 391: 389: 387: 383: 377: 374: 373: 371: 369: 365: 359: 356: 354: 351: 349: 346: 344: 341: 339: 336: 334: 331: 329: 326: 324: 321: 319: 316: 314: 311: 309: 308:Golden S sign 306: 304: 301: 299: 296: 295: 293: 291: 287: 281: 278: 276: 273: 271: 268: 267: 265: 263: 259: 255: 248: 243: 241: 236: 234: 229: 228: 225: 206: 199: 196: 185:on 2008-06-02 184: 180: 174: 171: 166: 162: 158: 154: 153:Br J Hosp Med 147: 144: 137: 135: 128: 126: 122: 118: 116: 112: 107: 105: 101: 97: 93: 89: 85: 81: 77: 73: 64: 57: 53: 48: 40: 32: 19: 487:Neurological 462:Omental cake 403: 399:Fabella sign 338:Steeple sign 318:Kerley lines 313:Hampton hump 209:. Retrieved 198: 187:. Retrieved 183:the original 173: 156: 152: 146: 132: 123: 119: 108: 103: 99: 75: 72:fat pad sign 71: 69: 427:Cupola sign 290:Respiratory 207:. Radiology 115:radial head 80:radiography 368:Urogenital 189:2009-07-17 138:References 117:fracture. 280:Halo sign 211:3 October 104:posterior 76:sail sign 512:Category 100:anterior 84:fracture 165:1760676 125:input. 111:humerus 96:fat pad 163:  213:2012 161:PMID 102:and 70:The 514:: 157:46 155:. 246:e 239:t 232:v 215:. 192:. 167:. 58:. 20:)

Index

Sail sign of the elbow



posterior fat pad
supracondylar fracture

radiography
fracture
occult fracture
spinnaker (sail)
fat pad
humerus
radial head
PMID
1760676
"RSNA Publications Online"
the original
"The Fat Pad Sign"
v
t
e
Radiologic signs
Cardiovascular
Aortic unfolding
Dense artery sign
Halo sign
Respiratory
Air crescent sign
Deep sulcus sign

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