Department of Imaging, Queens Medical Centre, Derby Road, Nottingham NG7 2UH, UK.
Emerg Med J. 2010 Apr;27(4):332-3. doi: 10.1136/emj.2009.076372.
This case report describes a case of a high-speed injury in a patient with preexisting spinal segmentation abnormality, leading to anterior corner avulsion fracture of T1 and oesophageal perforation. As well as being indicative of anterior ligamentous injury, bony fragments associated with hyperextension injuries may injure adjacent viscera or vessels, and clinicians should consider the possibility of clinically occult visceral or vascular damage if such a fracture is demonstrated. Conservative management of both injuries was successful in this case.
本病例报告描述了一例高速外伤患者存在脊柱节段异常，导致 T1 前角撕脱骨折和食管穿孔。这种骨折不仅提示前韧带损伤，而且与过伸损伤相关的骨碎片可能会损伤相邻内脏或血管，如果出现这种骨折，临床医生应考虑是否存在临床隐匿性内脏或血管损伤的可能性。在这种情况下，两种损伤均采用保守治疗获得成功。
