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In a prospective study at a single centre between August 1995 and March 1996, 193 patients with elbow injuries were studied. Standard radiographs of the elbows were taken. A total of 181 X-rays were reported by one person concerning the presence or absence of fractures and fat-pad signs. The radiographs were analysed and positive predictive values were calculated for the presence of the fat-pad sign with radial head/neck fractures. The sensitivity for radial head/neck fracture is 85.4 per cent, while the specificity is only 50 per cent. The fat-pad sign must be used cautiously as an indicator of radial head/neck fractures; its absence is a more reliable indicator of the absence of a radial head/neck fracture.
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- The fat-pad sign following elbow trauma. Its usefulness and reliability in suspecting ‘invisible’ fractures.Clin Radiology. 1970; 21: 90
- Displacement of fat-pads in disease and injury of elbow: a new radiographic sign.Radiology. 1959; 73: 717
- Displaced fat-pads in trauma to the elbow.Injury. 1978; 9/4: 297
- Elbow fat-pad sign: implications for clinical management.J Roy Coll Surg Edinb. 1992; 37: 205
- Soft tissue alterations in elbow trauma.Am J Radiol. 1959; 82: 867
- Incidence of unsuspected fractures in traumatic effusions of the elbow joint.Br Med J. 1987; 295: 109
- Roentgenologic visualization of extracapsular fat; its importance in diagnosis of traumatic injuries to elbow.Acta Radiol (Diagn). 1954; 42: 205
- The elbow fat-pad sign: Brief report.J Bone Joint Surg. 1987; 69B: 844
Accepted: September 4, 1996
© 1997 Published by Elsevier Inc.