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On the lateral view of this elbow, you can see large post-traumatic joint effusion .
The posterior fat-pad is faintly visible and the anterior fat-pad is elevated and anteriorly displaced (Sail Sign). These findings indicate a fracture about the elbow that in an adult should be in the radial head and in a child usually means a supracondylar fracture.

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Comment by M.T Niknejad on June 8, 2011 at 2:17pm
Surely , thanks for comment my dear prof .
Comment by saeed rad on June 8, 2011 at 2:09pm
Thank you Dr Niknejad for the case and presentation. Surely you are aware of the second sail sign: thymic shadow on the infant's chest en face view.

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