IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Compression fracture of the capitellum

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Hit the left elbow while sustaining a fall.

Patient Data

Age: 35 years
Gender: Female

No gross bony or soft tissue abnormalities can be discerned, and the otherwise very sensitive fat pad signs also prove to be negative. Nevertheless the contour of the capitellum around its radial aspect appears irregular (see magnified key image). Considering the strong clinical suspicion a CT was requested. 

A slightly displaced, compressed fracture is clearly visible in the articular surface of the capitellum, which in retrospect explains the perplexing appearance of the frontal radiograph. 

Case Discussion

Minimally displaced fracture of the capitellum which was borderline occult in the radiographs. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.