Schild H, Müller H A
Rontgenblatter. 1981 Feb;34(2):72-9.
Analysis of roentgenographs of injured elbows must go beyond the identification or exclusion of a line indicating a fracture, especially in children and adolescents. Decisive diagnostic pointers can be supplied by the displacement of fatty bodies, which is a very sensitive indicator of an intra-articular growth, as our postmortem examinations have shown. A systematic search for disturbances of relative positionings (which are defined e.g. by the radius-capitulum axis or the ventral longitudinal humerus axis) and consideration of the sequence in time of the appearance of ossification centres in elbows of children, will prevent gross mistakes in the assessment of the pathological situation.
对受伤肘部的X光片分析不能仅仅局限于识别或排除表示骨折的线,尤其是在儿童和青少年中。正如我们的尸检所示,脂肪体移位可提供决定性的诊断线索,这是关节内损伤的一个非常敏感的指标。系统地寻找相对位置的紊乱(例如由桡骨小头轴线或肱骨腹侧纵轴线定义),并考虑儿童肘部骨化中心出现的时间顺序,将避免在评估病理情况时出现重大错误。