By Arnold Ehret
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50). Posterior or anterior displacement can only be assessed on a lateral projection. (a) PA and (b) lateral projection. 47 Child with complete fractures of the distal radius and ulna, (a) PA and (b) lateral projection. 48 Adolescent with fracture separation of the distal radial growth plate, (a) PA and (b) lateral projection. 49 Fractures of the distal radius and ulna with dorsal angulation of the distal fragment (Colle's fracture), (a) PA and (b) lateral projection. 50 Fracture of the distal radius and ulna with anterior angulation of the distal fragment (Smith's fracture), (a) PA and (b) lateral projection.
42). 41 Posterior dislocation of the elbow, (a) AP (b) lateral view. 42 Posterior dislocation of the elbow with a displaced fracture of the radial head. Note that because of the severe trauma it is not always possible to obtain ideal AP (a) and lateral projections (b). 43). • the dislocation of the radial head results in disruption of the radio-capitellar line. 43 Association of a fracture of the proximal third of the ulna and a dislocated radial head (Monteggia fracture). Note the radiocapitellar line is disrupted.
The rare posterior dislocation may be associated with injury to the major vessels. • the dislocation is frequently difficult to identify radiographically. An anteroposterior projection with 40-degree cephalic (towards the head) tilt of the tube may be required. Where available, CT readily confirms/excludes the diagnosis. Dislocation of the acromioclavicular joint • a more common injury than sternoclavicular joint dislocation, accounting for 12% of the dislocations of the shoulder girdle. • indirect trauma causes rupture of the joint capsule and ligaments anchoring the clavicle to the superior aspect of the scapula.