Occipital condyle fracture in a patient with head trauma

Paiva, Wellingson Silva; Rusafa-Neto, Eloy; Amorim, Robson Luís Oliveira de; Figueiredo, Eberval Gadelha; Andrade, Almir Ferreira de; Teixeira, Manoel Jacobsen

doi:10.1590/s0004-282x2009000100030

Cited by 2 publications

(4 citation statements)

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“…The diagnosis of OCF usually remains unrecognized as it is rarely identified on plain radiographs [2,3]. This lack of utility of plain radiographs of either skull or cervical spine, together with the variability of symptoms, poses a challenge to the diagnosis of OCF [6,9]; however, with the increasing use of CT scans, more cases are being detected [3,7,10,11]. CT scans are now considered the gold standard in diagnosing this entity [9], helping to identify any displacement or bleeding in the affected area [7].…”

Section: Discussionmentioning

confidence: 99%

“…The classification by Anderson and Montesano, first proposed in 1988, is now the most popular, and is based on mechanism of injury and appearance on radiographic films [6,9]; Type I is an impacted fracture, Type II is a basal skull fracture, and Type III is an avulsion fracture [6,7]. Types I and II are stable fractures and Type III is unstable [3].…”

Section: Discussionmentioning

confidence: 99%

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Occipital condyle fracture in a patient with neck pain

et al. 2014

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BackgroundOccipital condyle fractures (OCF) are rare traumatic injuries and are of critical clinical importance because of the anatomic considerations of the occipitoatlantoaxial joint complex. OCF can be a diagnostic challenge because of the inability to diagnose this injury with plain radiographs. This is especially true in the emergency department (ED) setting. A high degree of clinical suspicion and careful investigation of the craniocervical junction is warranted in patients presenting to the ED with head and cervical trauma.FindingsWe present a case of a 45-year-old male who presented to the ED with complaints of neck pain and headache four days after an assault. The classification, clinical presentation, diagnosis, and management of his injury are discussed, and pertinent literature is reviewed.ConclusionsOCF can be easily overlooked due to multiple factors; including the conscious state of the patient or the inability to diagnose it through plain radiographs. Early recognition and diagnosis of OCF is crucial to prevent neurological involvement.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Occipital condyle fracture in a patient with neck pain

et al. 2014

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“…As FCO tipos 1 e 2 de Anderson e Montesano 17 correspondem ao tipo 1 de Tuli et al 19 A FCO tipo 3 de Anderson e Montesano corresponde ao tipo 2 de Tuli et al, que é subclassificada em A e B na dependência da estabilidade ou instabilidade do complexo articular O-C1-C2. 20 Segundo Paiva et al, 21 essa classificação pode guiar o manejo neurocirúrgico, de modo que a fratura tipo 2B requer instrumentação cirúrgica ou halo de tração; a fratura tipo 2A deve ser tratada com um colar rígido; e a fratura tipo 1 não requer tratamento específico.…”

Section: Sistemas De Classificaçãounclassified

“…1 O tratamento conservador dessas fraturas evolui com bons resultados, com melhora da cervicalgia e manutenção dos movimentos do segmento envolvido após três meses de tratamento. 5,21,29 A maioria dos casos publicados foram tratados conservadoramente, principalmente aqueles com fraturas classificadas em tipos I e II de Anderson e Montesano. 17 Entretanto, a análise dos resultados do tratamento conservador de acordo com essa classificação tem sido controversa.…”

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