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Musculoskeletal Imaging Community

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Saturday, 17 April 2010

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This community provides latest cases, discussions, news, publications and more valuable information for the Musculoskeletal imaging subspecialty. Join now - it's free!

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$knee fracture$ $Radial Head fracture$

$Elbow in Pediatric trauma :: 12 yr boy with h/o fall. Radiographs of elbow shows irregular bone densities adjacent to Olecranon on lateral view. Probably this represent variant Ossification. All Ossification centres are normal in position. No evident Supracondylar fracture or Lateral condylar fracture. No posterior Fat-pad sign or Anterior sail sign seen. It is important to know the sequence of appearance of ossification centers which appear in a strict order. The mnemonic C-R-I-T-O-E (Capitellum - Radius - Internal or medial epicondyle - Trochlea - Olecranon - External or lateral epicondyle) is used to remember this. The ages at which these ossification centres appear are highly variable and differ between individuals, but as a general guide you can remember 1-3-5-7-9-11 years. Trochlea may have 2 or more ossification centres which can give the trochlea a fragmented appearance. This may even give appearance of Intra-articular loose bodies on Lateral view.$

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