Specifically, with regards to proximal olecranon fractures, plate and screw constructs tend to have only a few short proximal screws, and further stabilization with a supplementary wire or suture fixation incorporating the triceps attachment has been found to be helpful and knowledge of the fracture morphology is helpful for this surgical planning. Furthermore, CT can assess the degree of ulnohumeral incongruity, which is inversely proportional to the proximal olecranon fracture size [8]. MRI Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced MRI of the elbow/proximal forearm as the next imaging study for the evaluation of occult fracture of the elbow and/or proximal forearm. MRI Area of Interest Without IV Contrast There is no evidence to support the use of noncontrast MRI of the elbow/proximal forearm as the next imaging study for the evaluation of occult fracture of the elbow and/or proximal forearm. In the setting of the Osborne- Cotterill lesion, occasionally the impaction, avulsion, and shear fracture of the posterolateral capitellum during elbow fracture-dislocation could be nondisplaced on CT; however, MRI is able to demonstrate the injury with marrow edema at the fracture site [9]. Radiography Area of Interest Repeat in 10-14 Days Pavic et al [10] evaluated 193 patients with acute elbow trauma with no acute fracture identified at the time of initial radiographic evaluation. Of note, these patients all had elbow joint effusions. Follow-up conventional radiographs were performed in 184 patients (95%) and showed fractures of the radial neck in 58% and nondisplaced fractures of the radial head in 37% of cases. Five percent of patients continued to have normal radiographs and were further evaluated with MRI and found to have intraarticular joint effusions, bone contusion, and radial and UCL ruptures.
Acute Elbow and Forearm Pain. Specifically, with regards to proximal olecranon fractures, plate and screw constructs tend to have only a few short proximal screws, and further stabilization with a supplementary wire or suture fixation incorporating the triceps attachment has been found to be helpful and knowledge of the fracture morphology is helpful for this surgical planning. Furthermore, CT can assess the degree of ulnohumeral incongruity, which is inversely proportional to the proximal olecranon fracture size [8]. MRI Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced MRI of the elbow/proximal forearm as the next imaging study for the evaluation of occult fracture of the elbow and/or proximal forearm. MRI Area of Interest Without IV Contrast There is no evidence to support the use of noncontrast MRI of the elbow/proximal forearm as the next imaging study for the evaluation of occult fracture of the elbow and/or proximal forearm. In the setting of the Osborne- Cotterill lesion, occasionally the impaction, avulsion, and shear fracture of the posterolateral capitellum during elbow fracture-dislocation could be nondisplaced on CT; however, MRI is able to demonstrate the injury with marrow edema at the fracture site [9]. Radiography Area of Interest Repeat in 10-14 Days Pavic et al [10] evaluated 193 patients with acute elbow trauma with no acute fracture identified at the time of initial radiographic evaluation. Of note, these patients all had elbow joint effusions. Follow-up conventional radiographs were performed in 184 patients (95%) and showed fractures of the radial neck in 58% and nondisplaced fractures of the radial head in 37% of cases. Five percent of patients continued to have normal radiographs and were further evaluated with MRI and found to have intraarticular joint effusions, bone contusion, and radial and UCL ruptures.