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    Case of the Day
    Clinicly questionable radial head luxation, exclusion with MRI in an infant

    Modality: MRI Modality: MRI

    View here all images of this case in different sizes !

    Go to the top of the page ID: 20020317221503
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     Clinicly questionable radial head luxation, exclusion with MRI in an infant   
     Available images: There are MRI images available for this case. [ MRI ]   

    Wolfgang Hirsch, S.-O. Höhne (Halle)  

     Email Address:

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    2,5 Weeks  




    2.5 year-old boy. Unnoticed fall. Pain and careful movement in the elbow-region. Movement of the joint cannot be adequately assessed, as the patient resists vehemently. In the a.p. x-ray, the centralization of the radius on the core of the radial head was unclear, so that a dislocation was discussed.  

     Pathomorphology or Pathophysiology of this disease :


     Radiological findings:

    MRI 1 <- view MRI 1

    MRT 1: Slight change of the radial axis, which does not meet in the center. MRI images (DESS-Sequence bright: cartilage; white: synovial fluid; grey: musculature, no signal: bone). Regular centralization of the radius on the bony structures of the later capitulum radius humeri. Possibly the earlier bone-nucleus within the cartilaginous bud is not centrally localized, but which also not pathologic. (x-ray for comparison as well)

    MRI 2 <- view MRI 2

    MRI 2: In the coronal view, one sees the correct location of the cartilaginous trochlea and the olecranon (middle image) as well as the completely normal centralization of the radial axis. Therefore, there is no luxation or subluxation (x-ray for comparison as well).


     Diagnosis confirmation:

    Total constellation (Consens)  

     Which DD would be also possible with the radiological findings:

    Pronation doloreuse, Malformation of the head of the humerus  

     Course / Prognosis / Frequency / Other :


     Comments of the author about the case:


     First description / History:






     Most likely etiology:


     Available images: There are MRI images available for this case. [ MRI ]   
    More cases from these authors: Search Wolfgang Hirsch in Medline Wolfgang Hirsch (17)   Search Wolfgang Hirsch in Medline S.-O. Höhne (2)     

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