ROUNDS RESPONSE.
Rounds is your vehicle for sharing your orthopaedic skills and experience. Your response to Rounds will be published in a future issue of Body Cast. We invite you to suggest questions for this column. Please address all submissions to: The Editor, Body Cast, 18 Wynford Drive, Suite 715A, North York, Ontario, M3C 3S2.

This Issue's Rounds Question -
Please tell us: What is Plica syndrome? (Question submitted by Catherine Skrabec, Saskatchewan)

(responses to be published in next issue)

In the last issue of Body Cast, Rounds asked: What are the most common views for evaluating elbow symptoms?
The following answers were received:

From Mary-Jane Buchner:
The most common views taken of the elbow are AP and lateral. Sometimes they would take an oblique view if the attending
doctor felt it was needed. Sometimes the fracture line is not visible, so it's a good idea to also look at the fat pad that is
in the elbow or the sail sign because that could tell you that it may be a hairline fracture, but the most important part is the
physical examination.

From David Carroll:
Most common views in x-ray would be lateral and anterior/ posterior views. Bilateral comparison could be a further
possibility.

From Jim Carragher and Lori MacDonald:
The most common views for evaluating elbows are:

  1. AP
  2. external oblique
  3. internal oblique
  4. lateral
  5. radial head

From Leo Helfer:

  • AP, lateral and oblique x-ray views
  • Anterior and posterior fat pad signs on the x-ray views

From Staush Jankowski:
The most common views for evaluating elbow symptoms are primarily the radiographic anterior-posterior or anteroposterior view (AP) in full extension and a lateral view (LAT) in 90°. A third view called the oblique view assists with a radial head view, and in children when the AP and lateral views do not show a fracture or fat pad signs. As well, this view helps to determine a potential lateral condyle humeral fracture in children. Other specialized views include axial projections to help evaluate the olecranon fossa and the stress view for joint stability.

Answers were also received from: R. Aceron, L. Arseneau, L. Burk, R. Chun, E. Clancey, A. Crossman, L. Chen, J. Delsey,
B. Doucet, D. Edwards, W Fast, I. Fluerar, M. Gillingham, R. Grenier, S. Groulx, M. Helpert, R. Keating, B. Lavallee, B.
Letourneau, N. Lockyer, c., Longphee, L. Lough, G. Marshall, B. Matheson, f. Maulucci, A. Minoo, M. Monteleone, J.
Movasseli, E. Oborowsky, R. Pagay, J.P. Piche, O. Picton, J. Pike, L. Pirrale, E. Place, P. Power, B. Rawlings, P. Ritchie,
V Robichaud, B. Sheppard, S. Shivpaul, V Stockdale, A. Tarambikos, B. Walker, A. Wentzell, T. White, R. Wong, N. Yao,
1. Yarnell, and T. Yorke.