Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... Check the anterior humeral ... cortex of the humerus ... The normal radius ... peds #Pediatrics #clinical
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
anterior sail sign ... can't make A-OK sign ... Splint: Posterior long ... #Elbow #Humerus ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
olecranon relative to humerus ... can't make A-OK sign ... β€’ ED Management ... Splint: Posterior long ... Orthopedics #Sports #MSK
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
apposed to the humerus ... posterior fat pad is normally ... called the β€œSail sign ... #trauma #clinical ... #radiology #msk
PA view
On the PA chest-film it is important to examine all the areas where the lung
areas where the lung ... these borders lung-soft ... the silhouette sign ... hemorrhage due to a fracture ... #Clinical #Anatomy
Hill-Sachs Lesion on Ultrasound 

Unlike normal variant irregular bare area (arrowhead) under infraspinatus, a Hill-Sachs lesion
Ultrasound Unlike normal ... dislocation involves the humeral ... Lesion #Ultrasound #MSK ... #POCUS #Humerus ... #Clinical #Comparison
Lung pulse shown by transducer placed on right and left anterolateral chest walls. Notice how the
Lung pulse shown ... how the pleural line ... @SAlerhand #Clinical ... #POCUS #LungPulse ... Comparison #Right
β–Ί
Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
Radius Fracture ... of a long bone ... alignment in both planes ... #POCUS #clinical ... #bone #msk #orthopedics
β–Ί
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
Tendon: Normal ... MUSCULOSKELETAL #MSK ... #POCUS #Atlas # ... Clinical #Radiology ... #Comparison
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) β€’ Use POCUS ... ↓ BP is a late sign ... potential pelvic fracture ... Survey #CABCDE #management