Sesia, Sergio Bruno; Prüfer, Friederike; Walther, Michael; Studer, Daniel (2017). Delayed diagnosis of fractured anterior arch of the atlas in a young child. BMJ case reports, 2017, bcr2016214472. BMJ Publishing Group 10.1136/bcr-2016-214472
Full text not available from this repository.A 2-year-old girl fell off a bunk bed onto a parquet floor. She immediately reported neck pain and presented with muscle spasm and limited motion of the cervical spine (C-spine). Plain X-rays of the C-spine showed no osseous lesion. Owing to persisting pain and limited motion in the neck, MRI of the C-spine was obtained which revealed intact ligaments and cervical spinal cord, as well as soft tissue swelling in front of the anterior arch of the atlas. Subsequent CT of the C-spine confirmed a complete, undisplaced fracture of the anterior arch of the atlas (Gehweiler type I fracture). A Minerva cast was applied for 2 months, followed by a soft cervical collar. Persistent neck pain and limited range of motion of the neck after a fall may be indicative of atlas fracture that should be ruled out by CT.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery |
UniBE Contributor: |
Sesia, Sergio Bruno |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1757-790X |
Publisher: |
BMJ Publishing Group |
Language: |
English |
Submitter: |
Thomas Michael Marti |
Date Deposited: |
16 Jul 2018 11:46 |
Last Modified: |
07 Jan 2024 01:00 |
Publisher DOI: |
10.1136/bcr-2016-214472 |
PubMed ID: |
28073868 |
URI: |
https://boris.unibe.ch/id/eprint/110001 |
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