Challenge: What kind of highly unstable fracture is shown above?
P.S. Taking a break on cases this weekend, back on Monday.
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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1 comment:
What’d I Miss?
This is a Jefferson (burst) fracture (the title of the case refers to the Hamilton soundtrack song about Thomas Jefferson). This fracture of C1 occurs when a vertical compression force causes fractures of the anterior and posterior arches. The lateral radiograph shows increased predental space between C1 and the odontoid. The open-mouth or odontoid view shows a step-off of the lateral massees which are normally aligned.
Source: UpToDate.
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