在法医学实践中,肘髌骨的案例较少见。而外伤或肘关节的运动功能障碍合并肘髌骨,则极易将肘髌骨误诊为骨折。本文报告一例颅脑损伤伴肘髌骨被误诊为肘关节骨折的案例,以供法医鉴定借鉴参考。1案例资料1.1病历摘要某男,14岁。因“头部受伤后2天伴头痛、头晕、右上肢活动不利”入院。查体:GCS 14分,反应迟疑,头皮广泛肿胀,左眼睑肿胀淤血,双瞳孔等大等圆,光反射存在。右上肢运动障碍,近端肌力Ⅲ级,远端0 In forensic practice, elbow patella cases are rare. The traumatic or elbow movement dysfunction with elbow patella, it is easy to elbow patella misdiagnosed as fractures. This article reports a case of craniocerebral injury with elbow patella was misdiagnosed as elbow fracture cases for forensic identification reference. 1 case data 1.1 medical record summary male, 14 years old. Because of “2 days after the head injury with headache, dizziness, adverse right upper extremity movement” admission. Physical examination: GCS 14 points, hesitation reaction, extensive swelling of the scalp, left eyelid swelling congestion, double pupil and other large round, light reflection exists. Right upper extremity dyskinesia, proximal muscle III, distal 0