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Báo cáo hóa học: " Traumatic atlantoaxial rotatory subluxation in an adolescent: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Traumatic atlantoaxial rotatory subluxation in an adolescent: a case report | Meza Escobar et al. Journal of Medical Case Reports 2012 6 27 http www.jmedicalcasereports.eom content 6 1 27 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Traumatic atlantoaxial rotatory subluxation in an adolescent a case report Luis Enrique Meza Escobar Georg Osterhoff Christian Ossendorf Guido A Wanner Hans-Peter Simmen and element ML Werner Abstract Introduction Atlantoaxial rotatory subluxation is rarely caused by trauma in adults. Usually the treatment of choice is traction using Halo Gardner-Wells fixation devices for up to six weeks. Case presentation We present the case of a 19-year-old Caucasian woman with traumatic atlantoaxial subluxation. Early reduction three hours after trauma and immobilization using only a soft collar were performed and yielded very good clinical results. Conclusion In the adult population atlantoaxial subluxation is a rare condition but is severe if untreated. Early treatment implies a non-surgical approach and a good outcome. Conservative treatment is the recommended first step for this condition. Introduction Atlantoaxial rotatory subluxation is frequently observed in children and in patients with rheumatic arthritis but rarely occurs traumatically in adults 1 . A typical clinical sign is torticollis 2 with lateral flexion of the neck and contralateral rotation known as the Cock-Robin position 3 . Usually the treatment of choice is traction using Halo Gardner-Wells fixation devices for up to six weeks 4 . The importance of recognizing this condition stems from the fact that it has the potential to cause severe neural damage or even death if it is not treated promptly 5 . We present the case of a patient with traumatic atlantoaxial subluxation in which early reduction three hours after trauma and immobilization using only a soft collar were performed and yielded very good clinical results. Case Presentation While driving a van and wearing a seatbelt a 19-year-old Caucasian woman was involved in a head-on vehicle .