Primary school child. Fall. Doesn't wish to move the elbow.
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Skeletally immature patient.
Both anterior and posterior fat pads elevated.
Undisplaced supracondylar fracture.
A common paediatric fracture, but imaged in a less common fashion.
Three life lessons.
1. Clinicians should aim to image the focus of the patient's concern and signs. Examine them well.
2. Radiographers should ideally also speak to the patient and recommend/perform the views they feel will best diagnose the clinical concern.
3. Dedicated views of the site of injury (ie. elbow views) of the site of injury. In fracture cases, there is always going to be follow up imaging for comparison too.