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Age: 65

Sex: Male

Indication: Fall

Save ("V")

Case #16


Findings

  • No acute fracture or malalignment
  • Elbow joint effusion
  • Multiple calcific intra-articular bodies located along the anterior joint space
  • Mild degenerative changes of the ulnohumeral joint
  • Enthesopathic changes of the olecranon


Diagnosis

  • Loose joint bodies

Sample Report

No acute fracture or malalignment.

Elbow joint effusion.

Multiple calcific intra-articular bodies located along the anterior joint space.

Mild degenerative changes of the ulnohumeral joint.

Enthesopathic changes of the olecranon.


Discussion

  • It is important to distinguish between a calcific and an ossific loose body in the setting of trauma, especially when there is a joint effusion
  • The lack of bony trabecula confirms that these are chronic, calcified bodies as opposed to acute fracture fragments
  • Loose joint bodies are an important finding because their presence may influence the decision to go to surgery


Images

Red arrows: loose bodies along the anterior aspect of the joint.

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