Dinç Cem, Türkoğlu Mehmet Erhan, Tuncer Cengiz, Aykanat Omer, Ozçelik Derya, Ozkan Gamze
Department of Brain and Neurosurgery, Düzce University Faculty of Medicine, Düzce, Turkey.
Department of Brain and Neurosurgery, Dışkapı Training and Research Hospital, Ankara, Turkey.
Ulus Travma Acil Cerrahi Derg. 2014 May;20(3):224-6. doi: 10.5505/tjtes.2014.22747.
Occipital condyle fractures are rare, and conservative treatment is sufficient for many cases. Surgical treatment may be required if the condyle fracture is accompanied by atlantooccipital dislocation. Unfortunately, condyle fracture generally cannot be diagnosed with X-ray in the emergency department. Recently, computed tomography scans have been used more frequently, and enable easier diagnosis of these types of fractures. In this report, we describe a patient who admitted to our emergency department after a major trauma. She complained of neck pain, and maxillofacial trauma was more evident. Her cervical X-rays were normal, but cervical computed tomography revealed unilateral occipital condyle fracture.
枕髁骨折很少见，许多病例采用保守治疗就足够了。如果髁突骨折伴有寰枕关节脱位，则可能需要手术治疗。不幸的是，急诊科通常无法通过X线诊断髁突骨折。近年来，计算机断层扫描（CT）的使用更为频繁，能够更轻松地诊断这类骨折。在本报告中，我们描述了一名在严重创伤后入住我院急诊科的患者。她主诉颈部疼痛，颌面外伤更为明显。她的颈椎X线片正常，但颈椎CT显示单侧枕髁骨折。
