IMAGINGElbow Injuries and FracturesRamponi, Denise R. DNP, NP-BC, FAEN, CEN; Kaufmann, Judith A. DrPH, CRNPSection Editor(s): Ramponi, Denise R. DNP, NP-BC, FAEN, CEN; Column Editor Author Information School of Nursing & Health Sciences, Robert Morris University, Moon Township, Pennsylvania; (Drs Ramponi and Kaufmann); Emergency Department, Heritage Valley Sewickley, Sewickley, Pennsylvania (Dr Ramponi); and St. Clair Health System, Pittsburgh, Pennsylvania (Dr Kaufmann). Corresponding Author: Denise R. Ramponi, DNP, NP-BC, FAEN, CEN, School of Nursing & Health Sciences, Robert Morris University, 6001 University Boulevard, Moon Township, PA 15108 (firstname.lastname@example.org). The authors thank David Brous, Robert Morris University for the illustrations in this article. Disclosure: The authors declare no conflicts of interest. Advanced Emergency Nursing Journal: April/June 2012 - Volume 34 - Issue 2 - p 99-109 doi: 10.1097/TME.0b013e318251cdba Buy Take the CE Test Metrics Abstract Elbow complaints are frequently encountered in the emergency setting. Mechanism of injury often involves direct trauma or a fall on the outstretched hand and arm. Abnormal findings on elbow radiographs can be challenging to identify, thus a systematic approach is essential to identify subtle findings especially with occult fractures. Maintaining a high index of suspicion, identification of normal and abnormal fat pad signs, and proper alignment of specific anatomical lines on elbow radiographs can assist in the identification of hidden fractures. © 2012 Lippincott Williams & Wilkins, Inc.