Coronoid process fractures are commonly seen in patients with posterior elbow dislocations. Coronoid process fractures may need dedicated radiographic techniques to be demonstrated adequately.

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	This 24 year old male presented to the Emergency Department after falling onto an outstretched hand. There was some suggestion that the patient's right elbow had been hyper-extended in the fall. He was examined and referred for right elbow radiography. There are subtle metaphyseal cortical discontinuities.
	The coronoid process appears to demonstrate lucencies consistent with a fracture
	The radial head projection has projected the radial head over the coronoid process.
	This projection was achieved using the lateral elbow position with the X-ray beam angled away from the shoulder (opposite angulation to a radial head view). The coronoid process fracture is clearly demonstrated.