![]() They occur as a result of compression of the radial head on the humeral capitellum in elbow flexion. ![]() R adial head fractures are the most common injury in adults following a fall on the outstretched hand and are often either occult or difficult to perceive on standard views. When these fat pads are distorted this reflects an effusion or haemarthrosis and a fracture should be presumed until proven otherwise. The posterior fat pad is not usually seen. The anterior fat pad is normally just visible but when the joint space fills with fluid or blood it becomes elevated like a boat sail. The elbow fat pads lie in the ventral and dorsal concavities of the distal humerus. Discussionįigure 4 is a lateral elbow view showing elevation of the anterior fat pad (the 'sail' sign – double arrows), and posterior fat pad (single arrow). Wrist X-ray in a different patient Case study 3Ī man, 20 years of age, presents following a fall onto his outstretched hand with pain in the elbow and restricted range of motion. Figure 3 shows a transscaphoid perilunate dislocation: the antero-posterior (AP) view shows a fracture of the scaphoid waist, and the lateral view shows an anterior dislocation of the lunate (long arrow) from the capitate (short arrows) – this is an othopaedic emergency.įigure 3. In extreme cases, rupture of both the intrinsic and extrinsic wrist ligaments can occur and this can result in carpal bone dislocation. In more severe injuries the scapholunate ligament can be disrupted resulting in scapholunate dissociation. 2 Elite athletes requiring guidance about training should preferably be imaged with MRI. ![]() Computed tomography (CT), bone scan and magnetic resonance imaging (MRI) are all equally sensitive but CT is emerging as the preferred option due to greater availability compared to MRI and lower radiation dose compared to nuclear medicine. Children can usually be treated in immobilisation with follow up plain X-ray imaging. 1 Standard management is immobilisation in a thumb abduction cast for 10 days and follow up X-ray, but increasingly advanced imaging is used to avoid overtreatment in adults. 1 Up to a third of patients with clinical suspicion of a fracture of the scaphoid will have a normal initial X-ray. Scaphoid fractures are at high risk of nonunion and avascular necrosis due to limited blood supply. The usual mechanism of injury in the setting of a scaphoid fracture is a fall onto the outstretched hand with an extended and radially deviated wrist. Discussionįigure 2 shows an undisplaced, uncomplicated fracture of the scaphoid tubercle. in a forearm X-ray always check the proximal forearm and carpal bones)?Ī woman, 30 years of age, has exquisite focal tenderness in the anatomical snuffbox following a fall. Margins of image – is another fracture or dislocation present (eg.Minimum of two views that are orthogonal (ie.Checklist for interpreting extremity X–rays
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In response to a dangerous activity, the cellar spiders vibrate rapidly in a circular fashion in its web. These arachnids behave strangely when threatened or entangled large prey. The cellar spiders tend to clean their cobwebs after finishing their food by unhooking and dropping the prey on the surface. The bitten insect might be immediately consumed or stored for later. These spiders first envelop their prey before biting it. Unlike other spider species, the webs of cellar spiders are entirely non-sticky. Cellar spiders are usually tan or greyish-brown in colour. These arachnids look like a peanut and have fangs, venom glands, and eight eyes. As with other spider species, cellar spiders have eight legs, a cephalothorax, and an abdomen. Their legs are very long, and this is why they are often termed as “daddy long legs spiders.” Their size becomes at least six times longer, including the legs.Īn adult female cellar spider is capable of growing as long as 50 mm. Excluding the legs, their size ranges between 7-8 mm. The cellar spiders are thin and fragile creatures that are generally longer than most other species of spiders. Let’s look at the cellar spiders more closely and know everything about these small but long-legged arachnids from appearance to the habitat to behaviour to some of the most interesting facts. These spiders help to keep other insects from entering the inside of your home since they feed on ants, bugs, other spiders, and small invertebrates. These spiders are also known as “daddy long legs.” These arachnids are fond of damp and dark places with high humidity levels such as pantries, warehouses, closets, basements, and crawlspaces. ![]() Although their venom is considered to be quite dangerous, they are harmless to humans. 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