Occipital condyle fracture

Case contributed by Dr Rajalakshmi Ramesh

Presentation

High speed motor bike accident.

Patient Data

Age: 58
Gender: Male
Modality: CT

Impaction fracture of the left occipital condyle

Annotated

Modality: CT

Minimally comminuted nondisplaced left occipital condyle fracture extending to the atlanto-occipital articulation without joint disruption or subluxation.

Case Discussion

This case illustrates a type 1 left occipital condylar fracture. This type of fracture is produced by axial loading into the atlas, with a component of ipsilateral flexion. Although the ipsilateral alar ligament may be torn, these are considered stable fractures due to the integrity of the tectorial membrane and the preserved contralateral alar ligament. This patient was managed conservatively in a hard cervical collar for six weeks. 

 

Case courtesy of Associate Professor Pramit Phal

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Case Information

rID: 33467
Case created: 13th Jan 2015
Last edited: 25th Apr 2017
Inclusion in quiz mode: Included

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