Zusammenfassung
Die Epiphysioloyse des Dens axis im Kleinkindalter ist eine seltene Verletzung, die jedoch bei Pkw-Unfällen mit frontaler Krafteinwirkung und mittelhoher Geschwindigkeit sicher abgeklärt werden muss. Wir berichten über einen kleinen Patienten, der aufgrund eines Dezelerationstraumas im Kindersitz im Rahmen eines Verkehrsunfalls eine Epiphysiolyse des Dens axis erlitten hat, welche initial nicht diagnostiziert wurde. Das Vorliegen der Epiphysiolyse konnte mithilfe von konventionellen Röntgenaufnahmen, MRT und CT gesichert werden. Die aufgrund der Anamnese verzögerte konservative Ausbehandlung im Halofixateur erfolgte dann komplikationslos.
Abstract
Epiphysiolysis of the dens axis at the infant age is a rare injury, which must be surely clarified at car accidents with frontal application of force at medium high speed. We report of a small patient sitting in a child seat, who suffered a epiphysiolysis of the dens axis, which was initially not diagnosed, due to a abrupt deceleration in the context of a car accident. The epiphysiolysis of the dens axis could be secured with the aid of conventional radiography, MRT and CT. The delayed conservative treatment due to the anamnesis was then complicationless.
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Kristen, A., Culemann, U., Holanda, M. et al. Die traumatische Epiphysiolyse des Dens axis beim Kleinkind. Unfallchirurg 111, 749–753 (2008). https://doi.org/10.1007/s00113-007-1378-4
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DOI: https://doi.org/10.1007/s00113-007-1378-4