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Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks
Congenital atlas abnormalities are rare — often asymptomatic — findings, not requiring any specific treatment. They are frequently discovered, by chance, in trauma patients, in the course of the radiological work flow at the Emergency Department. In these cases they may represent a diagnostic challe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589859/ https://www.ncbi.nlm.nih.gov/pubmed/23493176 http://dx.doi.org/10.4103/0974-2700.106325 |
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author | Ganau, Mario Spinelli, Roberto Tacconi, Leonello |
author_facet | Ganau, Mario Spinelli, Roberto Tacconi, Leonello |
author_sort | Ganau, Mario |
collection | PubMed |
description | Congenital atlas abnormalities are rare — often asymptomatic — findings, not requiring any specific treatment. They are frequently discovered, by chance, in trauma patients, in the course of the radiological work flow at the Emergency Department. In these cases they may represent a diagnostic challenge, since physicians are expected to differentiate them from complex C1 fractures (isolated Jefferson's fractures or associated with Anderson and d‘Alonzo's fractures) requiring surgical treatment. Although difficult to identify, a correct diagnosis is mandatory in order to optimize the patient's treatment. In this article we report a case of congenital atlas abnormality, and discuss the tips and tricks to make a correct differential diagnosis through the most appropriate clinical and radiological work flow. |
format | Online Article Text |
id | pubmed-3589859 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-35898592013-03-14 Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks Ganau, Mario Spinelli, Roberto Tacconi, Leonello J Emerg Trauma Shock Case Report Congenital atlas abnormalities are rare — often asymptomatic — findings, not requiring any specific treatment. They are frequently discovered, by chance, in trauma patients, in the course of the radiological work flow at the Emergency Department. In these cases they may represent a diagnostic challenge, since physicians are expected to differentiate them from complex C1 fractures (isolated Jefferson's fractures or associated with Anderson and d‘Alonzo's fractures) requiring surgical treatment. Although difficult to identify, a correct diagnosis is mandatory in order to optimize the patient's treatment. In this article we report a case of congenital atlas abnormality, and discuss the tips and tricks to make a correct differential diagnosis through the most appropriate clinical and radiological work flow. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3589859/ /pubmed/23493176 http://dx.doi.org/10.4103/0974-2700.106325 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ganau, Mario Spinelli, Roberto Tacconi, Leonello Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title | Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title_full | Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title_fullStr | Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title_full_unstemmed | Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title_short | Complex developmental abnormality of the atlas mimicking a Jefferson fracture: Diagnostic tips and tricks |
title_sort | complex developmental abnormality of the atlas mimicking a jefferson fracture: diagnostic tips and tricks |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589859/ https://www.ncbi.nlm.nih.gov/pubmed/23493176 http://dx.doi.org/10.4103/0974-2700.106325 |
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