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Missed Jeffery Type II Injury: Treatment in Two Cases and Literature Review
Julián Carlos Segura-Nuez1, Diana Elena Mandu1, Victoria Eugenia Gómez-Palacio1
1Orthopaedic Surgery and Traumatology Department, Miguel Servet University Hospital, Zaragoza, Spain, sectorzaragozados.salud.aragon.es.
Case Reports in Orthopedics
|April 20, 2026
Summary
Diagnosing Type 2 Jeffery injuries in children is challenging, especially when missed initially. Prompt surgical intervention can lead to satisfactory outcomes, but early recognition is crucial for optimal pediatric elbow injury management.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Radiology
Background:
- Type 2 Jeffery injuries are rare, with limited data on managing delayed or missed cases.
- Undiagnosed acute elbow injuries in children can lead to significant morbidity.
- Early identification of concomitant Jeffery's injury is vital in pediatric elbow dislocations.
Purpose of the Study:
- To highlight the challenges in diagnosing and managing missed Type 2 Jeffery injuries in pediatric patients.
- To present outcomes of surgical intervention for delayed diagnosis of Type 2 Jeffery lesions.
- To emphasize the importance of systematic radiographic assessment in pediatric elbow trauma.
Main Methods:
- Case report of two pediatric patients with initially undiagnosed Type 2 Jeffery lesions.
- Surgical intervention including open reduction, soft tissue reconstruction, and osteosynthesis.
- Postoperative and long-term follow-up assessing range of motion and functional deficits.
Main Results:
- Both patients underwent prompt surgery after delayed diagnosis.
- Initial postoperative recovery showed full elbow flexion-extension but limited supination/pronation.
- Long-term follow-up revealed gradual improvement, with mild persistent range of motion deficits.
Conclusions:
- Open reduction with reconstruction and osteosynthesis is effective for Type 2 Jeffery fractures, even when initially missed.
- Systematic radiographic evaluation is essential to prevent misdiagnosis of pediatric elbow injuries.
- Timely recognition and intervention are key to optimizing outcomes for Type 2 Jeffery injuries in children.
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