Limits...
Combined Jefferson and Hangman's fractures

Gould CFG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Combined Jefferson and Hangman's fractures

History: 73 year old woman who fell down stairs and has neck pain.

Findings: • C1 - Jefferson burst fracture of C1 with comminution of the mid anterior ring and comminution of the left posterolateral ring. • C2 - Predominately coronally-oriented fracture of the posterior C2 body with an additional left parasagittal C2 body fracture component. This fracture extends into the left foramen transversalis. There is also a minimally displaced right occipital condyle fracture and an extension tear-drop fracture located at the anterior inferior margin of the C2 vertebral body.

Ddx: • Jefferson Fracture: Congenital variants, malformations Rotational malalignment of Atlas/Axis pillars Pseudospread of Atlas (in children) • Hangman’s Fracture: Pseudosubluxation Rotatory subluxation of C2-C3 Primary spondylosis

Dxhow: Characteristic imaging findings.

Exam: Generalized neck pain without focal tenderness.

No MeSH data available.


Comminuted fracture of the anterior ring of C1.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1306&req=5

MPX1306_synpic51676: Comminuted fracture of the anterior ring of C1.


Combined Jefferson and Hangman's fractures

Gould CFG - MedPix (2009)

Comminuted fracture of the anterior ring of C1.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1306&req=5

MPX1306_synpic51676: Comminuted fracture of the anterior ring of C1.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Combined Jefferson and Hangman's fractures

History: 73 year old woman who fell down stairs and has neck pain.

Findings: • C1 - Jefferson burst fracture of C1 with comminution of the mid anterior ring and comminution of the left posterolateral ring. • C2 - Predominately coronally-oriented fracture of the posterior C2 body with an additional left parasagittal C2 body fracture component. This fracture extends into the left foramen transversalis. There is also a minimally displaced right occipital condyle fracture and an extension tear-drop fracture located at the anterior inferior margin of the C2 vertebral body.

Ddx: • Jefferson Fracture: Congenital variants, malformations Rotational malalignment of Atlas/Axis pillars Pseudospread of Atlas (in children) • Hangman’s Fracture: Pseudosubluxation Rotatory subluxation of C2-C3 Primary spondylosis

Dxhow: Characteristic imaging findings.

Exam: Generalized neck pain without focal tenderness.

No MeSH data available.