Ramrattan Allister

Final Pr. ID: Poster #: EDU-011 (T)

The purpose of this retrospective observational study is to provide an alternative if not optimal lateral elbow projection method to be considered for use in traumatic injuries with suspected distal humeral fractures and/or observable deformity at the distal humerus.
Abstract: The true lateral radiograph of the distal humerus commonly contributes to the decision of Gartland classification of supracondylar fractures and other distal humerus fractures. This is important when deciding which elbow fractures require invasive surgery and anesthesia as opposed to a reduction with conscious sedation. While the Elbow Lateral Projection (Lateromedial) in current practice typically results in a perfect lateral radiograph for adult patients, this method does not result in a true lateral of the distal humerus in pediatric patients. The condyles are rarely superimposed and the signature “hour glass” sign is imperfect. The Stop Sign Method is a medial to lateral projection that routinely results in a true lateral of diagnostic quality and meeting textbook qualification. Not only is positioning in the Stop Sign method more comfortable for trauma clients, it produces a more consistent radiograph when utilized on follow-up orthopaedic visits and enables clinicians to better track reduction retention and healing. Read More

Authors:  Ramrattan Allister

Keywords:  Elbow, Lateral, Supracondylar