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©2013 UpToDate ® Print Email Abnormal lateral elbow Lateral radiograph of the elbow of a 2-year-old girl. Both the anterior and posterior fat pads are elevated (small arrows). In addition, the anterior humeral line passes along the anterior edge of the capitellum rather than through its center. Mild buckling of the posterior cortex of the distal humerus can be seen (large arrow). Reproduced with permission from: Bachman D, Santora S. Orthopedic trauma. In: Textbook of pediatric emergency medicine, 5th ed, Fleisher GR, Ludwig S, Henretig FR (Eds), Lippincott Williams & Wilkins 2006. Copyright © 2006 Lippincott Williams & Wilkins. file://www.lww.com