Intentional Avulsion Fracture of the Second Cervical Vertebra in a Hypotonic Child
Autor: | Huda Elshershari, Resmiye Oral, Arnold H. Menezes, Riad Rahhal |
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Rok vydání: | 2006 |
Předmět: |
Male
Child abuse medicine.medical_specialty Developmental Disabilities Second cervical vertebra Irritability Intensive care medicine Humans Child Abuse medicine.diagnostic_test business.industry Avulsion fracture Magnetic resonance imaging General Medicine medicine.disease Hypotonia Surgery medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Cervical Vertebrae Emergency Medicine Muscle Hypotonia Spinal Fractures medicine.symptom business Cervical vertebrae |
Zdroj: | Pediatric Emergency Care. 22:352-354 |
ISSN: | 0749-5161 |
DOI: | 10.1097/01.pec.0000215370.71729.cd |
Popis: | Children uncommonly present with cervical fractures due to high-impact injuries. A 4-year-old child with developmental delay and chronic hypotonia presented to the hospital with acute onset of irritability and transient difficulty in walking. Lateral neck x-rays showed avulsion fracture of the second cervical vertebra. Neck magnetic resonance imaging study showed injury to the interspinal ligaments between the first and second cervical vertebrae in addition to confirming the acute avulsion fracture of C-2. The child was injured after he was thrown onto a bed from a distance of 1 to 2 ft according to his babysitter's admission. This is the first reported pediatric case presenting this type of inflicted fracture in a hypotonic child, although hypotonia may not have played a causal role. |
Databáze: | OpenAIRE |
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