Chance fracture: Difference between revisions
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==Background== | ==Background== | ||
* | *A type of flexion-distraction injury | ||
*Often seen in children wearing seat-belt inappropriately (over abdomen) | *Often seen in children wearing seat-belt inappropriately (over abdomen) | ||
*High energy flexion causes fracture | *High energy flexion causes anterior compression w/ transverse fracture through vertebral body | ||
*Unstable fracture | |||
==Clinical Features== | ==Clinical Features== | ||
*Seat belt sign | *Seat belt sign | ||
*Chance fracture associated with 50% incidence of intra-abdominal injury | *Chance fracture associated with 50% incidence of intra-abdominal injury | ||
*Most often T11 - L2 | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Anterior compression fracture | |||
==Diagnosis== | ==Diagnosis== | ||
*via CT scan | |||
*Radiographs show significant distraction of middle and posterior ligamentous structures | |||
==Management== | ==Management== | ||
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==References== | ==References== | ||
*Tintinalli | |||
<references/> | <references/> | ||
Revision as of 17:19, 15 April 2016
Background
- A type of flexion-distraction injury
- Often seen in children wearing seat-belt inappropriately (over abdomen)
- High energy flexion causes anterior compression w/ transverse fracture through vertebral body
- Unstable fracture
Clinical Features
- Seat belt sign
- Chance fracture associated with 50% incidence of intra-abdominal injury
- Most often T11 - L2
Differential Diagnosis
- Anterior compression fracture
Diagnosis
- via CT scan
- Radiographs show significant distraction of middle and posterior ligamentous structures
Management
Disposition
See Also
External Links
References
- Tintinalli