Vol. 4, Issue 1 (2018)
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 | 1863 Views 240 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. Int. J. Orthop. Sci. 2018;4(1):517-521. DOI: 10.22271/ortho.2018.v4.i1h.74
