Elbow Imaging

From WikiMSK

This article is a stub. Please help WikiMSK by expanding it.

Xrays are done predominantly for fractures and other red flag conditions, and are not helpful for conditions such as tendinopathies.

Rules for imaging in the trauma setting

  • Significant force applied to the elbow
  • Immediate loss of elbow function
  • Marked soft tissue swelling / contusion
  • Bony tenderness with no other diagnosis, as a screen for intra-osseous pathology
  • Compression of the joint reproduces pain – as a screen for intra-articular pathology
  • Instability shown on examination (varus / valgus aligned stress testing)
  • Risk factors for osteoporosis or pathological fractures (Paget’s)
  • In the presence of abnormal movements of the elbow (instability / locking)

References