Midshaft clavicle fractures associated with atlantoaxial rotatory displacement: A report of two cases

Richard E. Bowen, Jung Y. Mah, Norman Y. Otsuka

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Two cases of clavicle fractures associated with atlantoaxial rotatory displacement as well as 11 additional cases from the literature are presented. Most cases occur in girls 6 to 10 years old. The head is most often laterally bent toward and rotated away from the fractured clavicle. There is often a delay in making the diagnosis, which is best demonstrated by dynamic CT. Treatment of the clavicle fracture is straightforward, but failure to recognize and treat the C1-2 rotatory displacement promptly can lead to fixed C1-2 defonnity. Displacement recognized within the first 3 weeks of injury can be successfully treated nonoperatively. A delay of 6 weeks or greater in the diagnosis leads to fixed deformity at C1-2 that can be addressed with a limited cervical fusion.

Original languageEnglish (US)
Pages (from-to)444-447
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume17
Issue number6
DOIs
StatePublished - Jul 2003
Externally publishedYes

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Clavicle
Head
Wounds and Injuries
Therapeutics

Keywords

  • Atlantoaxial rotatory displacement
  • Clavicle fracture

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Midshaft clavicle fractures associated with atlantoaxial rotatory displacement : A report of two cases. / Bowen, Richard E.; Mah, Jung Y.; Otsuka, Norman Y.

In: Journal of Orthopaedic Trauma, Vol. 17, No. 6, 07.2003, p. 444-447.

Research output: Contribution to journalArticle

Bowen, Richard E. ; Mah, Jung Y. ; Otsuka, Norman Y. / Midshaft clavicle fractures associated with atlantoaxial rotatory displacement : A report of two cases. In: Journal of Orthopaedic Trauma. 2003 ; Vol. 17, No. 6. pp. 444-447.
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