IOTW: Elbow effusion

Posted on: February 28, 2020, by :

This patient presented after injury to the elbow. POCUS was performed looking at the posterior elbow which identified an effusion (which in the setting of trauma is blood). Xray confirmed supracondylar type I fracture.

This image demonstrates probe placement. Patient holds arm in flexed position. For the short axis view, hold the probe in the transverse position. For the long axis view, hold the probe in the longitudinal position.
This is a view of the elbow in the longitudinal plane. The posterior fat pad rests within the olecranon fossa.
This is a view of the elbow in the transverse plane. The posterior fat pad rests within the olecranon fossa.
This is a view of the elbow in the longitudinal plane. The posterior fat pad is elevated and there is an effusion within the olecranon fossa.
This is a view of the elbow in the transverse plane. The posterior fat pad is elevated and there is an effusion within the olecranon fossa.

Mary Kate Claiborne

Pediatric Emergency Medicine Attending at Children's National Medical Center
Mary Kate is from Augusta, Georgia. She attended Notre Dame for undergrad and then quickly returned to the warm weather in the South, attending medical school in Savannah, Georgia. She completed residency at University of Texas at Houston and PEM fellowship at Phoenix Children's Hospital. She is currently working as a PEM attending while also completing an ultrasound fellowship at CNMC. In her free time, Mary Kate enjoys running, tennis, cooking, spin class, coffee, and visiting family.
Mary Kate Claiborne

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