I don't know if I'm just weird, but I decided that I wanted to read the actual reports from the x-ray and CT taken in the E.R., so, I stopped by the hospital and picked up copies. I have to say, it is a bit enlightening. The most obvious fact that I take away from these findings are that even though my 30+ year old elbow injury hasn't really bothered me much, it was just a matter of time. Yikes, no wonder the ol' elbow is not liking any part of this .......
X-ray (June 9, 2010)
There is a suprachondylar fracture of the distal left humerus with posterior displacement of the proximal humerus fragment with respect to the distal humerus. Significant overlap of fracture fragments is demonstrated. Fracture line appears to extend into the joint space within the distal humerus but this is difficult to determine with certainty. There is an abnormal appearance of the radial head which appears related to significant degenerative change, A definite fracture line is appreciated. There also appears to be degenerative change in the proximal ulna involving the coronoid with some bony spurring, However, this is difficult to evaluate fully on the limited views obtained. Left elbow joint effusion is demonstrated.
Impression:
1. Complete fracture of the distal left humerus with displacement overlapping fracture fragments in gross deformity at the left elbow.
2. Proximal radius and ulna appear grossly intact but these are limited. Degenerative spurring is suggested.
CT (June 9, 2010)
There is a supracondylar fracture of the distal humerus. The fracture is comminuted and anteriorly displaced by 1 shaft width. In the proximal ulna and radius demonstrate no acute change. However, severe osteoarthritis is noted involving the entire elbow with greater involvement in the radiocapitellar joint. There is joint space narrowing subchondral sclerosis and subchondral cyst formation. Osteophyte formation is present. Multipile intra-articular bodies demonstrated anterior to the radiocapitellar joint and anterior to the coronoid process.
Impression:
1. Comminuted distal humerus fracture with anterior displacement by 1 shaft width,
2. No acute change of the proximal ulna or radius. There is severe elbow osteoarthritis with multiple intra-articular bodies anterior to the radiocapitellar joint and anterior to the coronoid process.
Definitely sounds even worse now I've read all that!
ReplyDelete:) never a dull moment! The dr. in the ER told me that I had all kinds of issues not related to the fracture .. then I forgot all about it.
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