Presentation
Anterior head trauma on car accident
Patient Data
Age: 45 years
Gender: Female
From the case:
Extension tear drop fracture
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Bilateral displaced fractures of nasal bones, notably the right side.
Fissure fracture is seen through the anterior maxilla.
Fracture anterior-inferior corner of C2 vertebral body, reflecting extension tear drop fracture. No associated hangman fracture.
Case Discussion
Extension teardrop fracture is an avulsion fracture of the anterior inferior corner of the vertebral body due to forced neck extension. It is stable in flexion and unstable in extension as the anterior longitudinal ligament is disrupted. It is treated conservatively with immobilization (C spine collar).
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