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[Epiphysiolysis of the dens axis in the small child]

A Kristen1, U Culemann, M Holanda

  • 1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes Homburg/Saar, Kirrberger Strasse 1, 66421 Homburg/Saar, Deutschland. alexander.kristen@uniklinik-saarland.de

Der Unfallchirurg
|February 29, 2008
PubMed

Insights

Infant epiphysiolysis of the dens axis is a rare injury from car accidents. Early diagnosis via imaging and prompt conservative treatment lead to uncomplicated recovery.

Area of Science:

  • Pediatric Traumatology
  • Orthopedic Surgery
  • Radiology

Background:

  • Epiphysiolysis of the dens axis is an uncommon pediatric injury.
  • It is often associated with high-energy frontal impacts in motor vehicle accidents.
  • Accurate and timely diagnosis is crucial for appropriate management.

Observation:

  • A case report of an infant sustaining epiphysiolysis of the dens axis after a car accident is presented.
  • The injury was initially missed due to the patient's position in a child seat and abrupt deceleration.
  • Conventional radiography, MRI, and CT were instrumental in confirming the diagnosis.

Findings:

  • The study highlights the diagnostic challenges of pediatric dens axis epiphysiolysis.
  • Imaging modalities like radiography, MRI, and CT are essential for identification.
  • Delayed conservative treatment, necessitated by initial diagnostic delay, resulted in a favorable outcome.

Implications:

  • This case underscores the importance of considering rare injuries like dens axis epiphysiolysis in infants involved in car accidents.
  • Radiographic evaluation should be thorough in cases of suspected trauma, even with initial negative findings.
  • Prompt diagnosis and conservative management can lead to successful outcomes in pediatric patients with this injury.

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