title: Occipital condylar fractures in children: rare or underdiagnosed?
abstract: A 6-year-old female is described who sustained a fracture of the left occipital condyle after colliding with a car at low speed. The fracture was only visible on thin-slice CT of the neck, which is not routinely recommended in children following a road traffic accident. Fractures of the occipitoantlantoaxial complex are difficult to diagnose by plain radiography, and awareness of this problem needs to be raised among clinicians treating children.
authors.affiliation: Department of Paediatrics, Northumbria Healthcare NHS Foundation Trust, Newcastle University, North Shields, UK. strehle@doctors.org.uk
authors.forename: E-M
authors.initials: EM
authors.lastname: Strehle
authors.forename: V
authors.initials: V
authors.lastname: Tolinov
mesh_terms: D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D005260:Female; D006801:Humans; D009777:Occipital Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D012887:Skull Fractures / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
references.citation: Radiology. 2000 Sep;216(3):635-44
references.pmid: 10966689
references.citation: J Bone Joint Surg Br. 2006 May;88(5):665-9
references.pmid: 16645117
references.citation: Kaohsiung J Med Sci. 2009 Jun;25(6):342-6
references.pmid: 19561000