title: [Trap in severe trauma: the rotary atlantoaxial dislocation].
abstract: We reported the case of asymptomatic traumatic atlantoaxial dislocation in a 14-year-old woman. Clinical diagnosis of this uncommon dislocation is difficult and often made late. The early diagnosis by CT scan is necessary to avoid secondary aggravation. Integrity of the transverse ligament of the atlas is a determining factor for atlantoaxial stability and allows orthopaedic treatment after reduction using moderate traction on the head.
authors.affiliation: Pôle anesthésie réanimation, bloc d'urgence/déchocage, hôpital Michallon, CHU de Grenoble, France. PIncagnoli@chu-grenoble.fr
authors.forename: P
authors.initials: P
authors.lastname: Incagnoli
authors.forename: L
authors.initials: L
authors.lastname: Selek
authors.forename: C
authors.initials: C
authors.lastname: Gourlé
authors.forename: E
authors.initials: E
authors.lastname: Gay
authors.forename: C
authors.initials: C
authors.lastname: Jacquot
mesh_terms: D000293:Adolescent; D001268:Atlanto-Axial Joint / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008279:Magnetic Resonance Imaging; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed; D014143:Traction