Misdiagnoses Related to Pediatric Coronoid Process Fractures



NK Sferopoulos*

“G. Gennimatas” Hospital, Thessaloniki, Greece.

*Corresponding Author: N. K. Sferopoulos, “G. Gennimatas” Hospital, Thessaloniki, Greece.

https://doi.org/10.58624/SVOAOR.2025.05.013

Received: June 03, 2025

Published: June 19, 2025

Citation: Sferopoulos KN. Misdiagnoses Related to Pediatric Coronoid Process Fractures. SVOA Orthopaedics 2025, 5:3, 77-81. doi: 10.58624/SVOAOR.2025.05.013

 

This editorial aims to highlight the wide range of misdiagnoses detected in publications reporting children with elbow injuries diagnosed with coronoid process fractures. It also presents illustrative cases from our common pediatric orthopaedic trauma practice. Coronoid fractures are rare in children, and the number of documented cases is limited. The radiographic appearance of the distal edge of the trochlear (semilunar) notch, formed from the coronoid process, may be erroneously indicative of a fracture in children with elbow injuries (Fig. 1). The diagnosis of coronoid fractures may escape on the anteroposterior and lateral elbow radiographs. The oblique radiographic view may identify subtle coronoid fractures by removing the overlap of the radial head and coronoid process, which is usually evident on the lateral radiograph [1].