The case of a 12-year old boy with a missed olecranon fracture after an elb
ow trauma is presented. Knowledge of the ossification patterns around the e
lbow is essential in evaluating elbow trauma in children, Certain fractures
of the immature elbow present diagnostic difficulty, which can lead to mis
sed or delayed diagnosis, with possible permanent functional loss that time
ly diagnosis and treatment might avoid. This is particularly true for those
fractures running through unossified portions of the elbow. Such a case is
described.