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International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2018, Volume 4 Issue 1

C2 dens fracture with closed cervical migration of a 6cm humeral fragment

Author(s): Afonso Cevadinha Caetano, Pedro Xavier Fernandes, Raquel Teixeira, Andreia Mercier Nunes, José Miguel Sousa, Clara Azevedo and José Guimarães Consciência
Abstract: Case: A 39-year-old woman, with bipolar disorder, suffered an eight-meter fall, resulting in dens and proximal and distal humeral fractures associated with migration of a 6cm humerus fragment to the left cervical region.
There were no skin breaches on admission.
Posterior instrumented C1-C2 fusion was performed along with proximal humerus stabilization through anterograde static nailing after removal and repositioning of the cervical migrated fragment.
Conclusion: High-energy trauma significantly increases treatment complexity. Understanding injury mechanism is crucial to adequately diagnose undisclosed lesions that otherwise might go unnoticed. In cases of bone migration, a thorough debridement is advised to prevent heterotopic calcifications.
Pages: 517-521  |  684 Views  17 Downloads
How to cite this article:
Afonso Cevadinha Caetano, Pedro Xavier Fernandes, Raquel Teixeira, Andreia Mercier Nunes, José Miguel Sousa, Clara Azevedo and José Guimarães Consciência. C2 dens fracture with closed cervical migration of a 6cm humeral fragment. International Journal of Orthopaedics Sciences. 2018; 4(1): 517-521. DOI: 10.22271/ortho.2018.v4.i1h.74
International Journal of Orthopaedics Sciences