Decoding X-Rays: Spotting Radial Head Fractures
Published: Feb 19, 2024
Learn how X-rays help diagnose radial head fractures and what signs to look for.
Contents
Why X-Rays Matter
X-rays are the go-to method for diagnosing radial head fractures. They provide a clear picture of the bone structure, showing breaks and any misalignment. This information is crucial for determining the severity of the fracture and the best course of treatment.
Signs to Look For
On an X-ray, look for fracture lines or any unusual bone positions. Elevated fat pads, often called a 'sail sign,' can indicate a fracture even if the break isn't obvious. These signs help doctors decide whether the fracture needs immediate attention or can be managed conservatively.

Advanced Imaging Techniques
While X-rays are usually sufficient, sometimes a CT scan can offer more detail, especially before surgery. MRI scans are rarely needed but can identify hidden fractures. These advanced techniques are reserved for complex cases where the standard X-ray doesn't provide enough information.
Frequently Asked Questions
They show clear images of bone breaks and alignment.
It's an elevated fat pad indicating a possible fracture.
Yes, for complex cases or surgical planning.
Key Takeaways
X-rays are a vital tool in diagnosing and managing radial head fractures.
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References
Greenspan A, Norman A. The radial head, capitellum view: useful technique in elbow trauma. AJR Am J Roentgenol 1982; 138:1186.
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