[Fixed rotatory subluxation of the atlanto-axial joint in polytrauma patients].
Traumatic atlanto-axial instabilities are rare entities in cervical spine injuries. There may be only subtle abnormal findings by plain radiographs, frequently resulting in a missed or delayed diagnosis. We report a polytraumatized patient with severe maxillofacial injuries, where preliminary radiological studies failed to verify rotatory instability of the atlanto-axial joint. A definite diagnosis was only established by further imaging studies, including CT scan reformations.
Weisskopf
M
M
Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Charité, Medizinische Fakultät, Humboldt Universität Berlin.
Mittlmeier
T
T
Hoffmann
R
R
D000293:Adolescent; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D003951:Diagnostic Errors; D003952:Diagnostic Imaging; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008446:Maxillofacial Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D011859:Radiography; D015898:Tomography Scanners, X-Ray Computed
Problematik rotatorisch atlantoaxialer Dislokation der HWS bei polytraumatisierten Patienten.