Patient Details

• Name: Sharma Shubhra
• Age/Sex: 70-year-old Female
• Study: X-ray Right Elbow Joint - AP & Lateral views
• Date: 19-Dec-2024, New Delhi

Image 1 - Lateral View of the Full Forearm

• Bones: Both radius and ulna are visible, along with the distal humerus at the elbow and carpal bones at the wrist.
• Hardware: A long contoured metal plate is fixed along the proximal ulna with three bicortical screws. A bright T-shaped metallic implant is visible near the proximal ulna/elbow region - this is a radial head prosthesis stem.
• Bone healing: There is evidence of callus formation (bone remodeling) around the mid-shaft where the plate is secured, suggesting a healing or healed fracture.
• Alignment: The radius and ulna are well-aligned overall.

Image 2 - Close-up Lateral View of the Right Elbow

• Radial Head Replacement (Arthroplasty): A metallic radial head prosthesis is clearly visible - a smooth cylindrical head capping the proximal radius with a stem going into the radial shaft. This replaces a fractured or damaged native radial head.
• Proximal Ulnar Plate and Screws: A long locking plate is fixed to the posterior aspect of the proximal ulna, secured with at least six screws.
• Displaced Bone Fragment: A distinct bone fragment is visible anteriorly near the joint - this is highly suspicious for a displaced coronoid process fracture fragment, which is a critical stabilizer of the elbow.
• Clinical Pattern: The combination of radial head fracture + coronoid fracture + likely ligamentous injury is consistent with a "Terrible Triad" elbow injury - a complex, high-energy injury pattern involving elbow dislocation, radial head fracture, and coronoid fracture.

Image 3 - AP (Anteroposterior) View of the Right Elbow

• Proximal Ulnar Locking Plate: A long anatomically contoured locking plate wraps around the olecranon proximally and extends down the ulnar shaft, secured by multiple locking screws both proximally and distally.
• Radial Head Prosthesis: A large, radiopaque metallic implant sits in the radial head position with a wide collar at the joint line and a stem going distally - confirming radial head replacement.
• Fracture Line: A radiolucent (dark) line is visible in the mid-ulnar shaft beneath the plate, representing a healing fracture or osteotomy site.
• Osteopenia: The bones show thinned cortices and reduced density, consistent with osteoporosis - expected and significant in a 70-year-old woman. This is an important surgical consideration as it affects screw purchase and healing.
• Joint space: Relatively preserved between the distal humerus and the reconstructed joint.

Overall Interpretation

Important note: This analysis is for educational purposes only. All X-ray findings should be formally interpreted by the treating orthopedic surgeon, who can correlate these images with the patient's clinical examination, operative notes, and overall recovery progress.