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"Fishtail" deformity

"Fishtail" deformity
10-year-old male with a history of a type III supracondylar fracture status post-percutaneous pinning who developed avascular necrosis of the trochlea: AP radiograph of the right elbow demonstrates an irregular, concave morphology of the trochlea with fragmented ossification (arrow).
Courtesy of Wendy Kim, MD.
Graphic 141109 Version 1.0