The occipital condyle fracture in pediatric ages: (Case report)

Objective & Hypothesis:Blunt traumas with high energy carry high risk for the occipital condyle fractures. 13-old-year girl was evaluated in emergency after the motor vehicle accident.

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Key Findings & Data:After 3 days trauma the patient was examined again for the restricted in cervical lateral rotations and pain in Orthopedics clinic.

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Conclusion & Impact:In these cases, cervical vertebras should be scaned with Computed Tomography.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Blunt traumas with high energy carry high risk for the occipital condyle fractures. 13-old-year girl was evaluated in emergency after the motor vehicle accident. The patient examination for the upper cervical pain in palpation. Cervical direct plain radiography was reported normal and the patient was immobilized with philedelphia cervical coller. After 3 days trauma the patient was examined again for the restricted in cervical lateral rotations and pain in Orthopedics clinic. The fracture type of our case was detected as Anderson and Montesano Type II occipital condyle fracture in 3-Dimensional cervical Computed Tomography. The management was carried out with philedalphia cervical coller immobilization. Occipital condyle fractures are very rare in pediatric ages. The diagnosis is difficult with cervical radiography. Occipital condyle fractures are considered in differential diagnosis of patients with localized upper cervical region pain, and sensitivity, restricted cervical activity. In these cases, cervical vertebras should be scaned with Computed Tomography.

Özet

Yüksek enerjili künt yaralanmalar oksipital kondil kırıkları için yüksek risk taşırlar. 13 yaşındaki kız çocuğu araç içi trafik kazası nedeniyle getirildiği acil’de değerlendirildi. Muayenesinde palpasyonda üst servikal hassasiyeti mevcuttu. Servikal direk röntgenografi normaldi ve Philedelphia servikal boyunlukla immobilizasyon yapıldı. Ortopedi kliniğinde takip ve tedavisinin 3. gününde kliniğimizce değerlendirilen hastanın servikal hassasiyet ve boyun lateral rotasyonunda kısıtlılık vardı. Servikal 3D BT ( 3 Boyutlu Bilgisayarlı Tomografi) ‘de Anderson ve Montesano Tip II sol oksipital kondil kırığı tespit edildi. Tedavide servikal phildelphia boyunluk ile immobilizasyon uygulandı. Oksipital kondil kırıkları pediatrik yaş grubunda çok nadirdir. Direk servikal grafilerde tanısı zordur. Boyun üst bölgesinde ağrı ve hassasiyet, boyun hareketlerinde kısıtlılığı olan olgularda ayırıcı tanıda oksipital kondil kırığı düşünülmelidir. Bu olgularda BT (Bilgisayarlı Tomografi) ile servikal omurganın incelenmesi gerekir

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Cite This Article

KAPLAN, M., KILINÇ, A., ARICI, L., ÜÇLER, N. (2022). The occipital condyle fracture in pediatric ages: (Case report). Akademik Acil Tıp Dergisi, Cilt: 8 - Sayı: 3, 60–62. https://ajindex.com/articles/431816

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References (1)

Rauschening W. Occipital condyle fractures. The Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons, American Congress of Neurological Surgeons. Annual Meeting 2001 2. Bell C. Surgical observations. Midlesex Hosp J 1817;4: 469–470 3. Young WF, Rosenwasser RH, Getch C. et al. Diagnosis and management of occipital condyle fractures. Neurosurgery 1994;34.257–261 4. Vicellio P, Simon H, Pressman BD. et al. Nexus Group. A prospective multicenter study of servical spine injury in children. Pediatrics 2001,108:E20 5. Aulino JM, Tutt LK, Kaye JJ. et al. Occipital condyle fractures: clinical presentation and imaging findings in 76 patients. Emergency Radiol 2005;11: 342–347 6. Goldstein SJ, Woodring JA, Young AB. Occipital condyle fracture associated with cervical spine injury. Surg Neurol 1982;17.350–352 7. Cottalorda J, Allarad D, Dutour N. Fracture of the occipital condyle. J Pediatr Orthop 1996; 5(part B)61–63 8. Bucholz RW, Burkhead WZ. The pathological anatomy of fatal atlanto-occipital dislocations. J Bone Joint Surg Am 1979;61;248–250 9. Üstündağ M, Orak M, Güloğlu C, Sayhan M.B., Uysal E. Servikal vertebra yaralanması sonucu acil servise başvuran hastaların geriye dönük incelenmesi. Acil_ tıp Aralık 2007;4:18-2 10. Clayman DA, Sykes CH, Vines FS. et al. Occipital condyle fractures: clinical presentation and radiologic detection. AJNR Am J Neuroradiol 1994;15,1309–1315 11. Erol FS, Topsakal C, Kaplan M. et al. Collet sicard syndrome associated with occipital condyle fracture and epidural hematoma. Yonsei Medical Journal 2007;Vol.48, No. 1, pp.120–12 12. Lustrin ES, Robertson RL, Tilak S: Normal anatomy of the skull base. Neuroimaging Clin N Am 1994;4.465–478 13. Blacksin MF, Lee HJ. Freguency and significance of fractures of the upper cervical spine detected by CT in patients with severe neck trauma. AJR Am J Roentgenol 1995;165:1201–1204 14. Hanson JA, Deliganis AV, Baxter AB. et al. Radiologic and Clinical Spectrum of Occipital Condyle Fractures: Retrospective Review of 107 Consecutive Fractures in 95 patients. AJR 2002;178:1261–1268. 15. Deliganis AV, Baxter AB, Hanson JA. et al. Radiologic spectrum of craniocervical distraction ınjuries. RadioGraphics 2000;20:S237-S250 16. Anderson PA, Montesano PX. Morphology and treatment of occipital condyle fractures. Spine 1988;13:731–736