PMC5851171_01
Preoperative X-rays, anteroposterior and lateral view of the 23C2 fracture (a, b). CT scan showing articular damage (c, d).
CRIOR2018-8351205.001.jpg
PMC5851171_01_CRIOR2018-8351205.001.jpg
fig1
The patient had a C2 fracture according to AO/ASIF classification with dorsal metaphyseal comminution (Figure 1).
Immediate postoperative X-rays showing internal fixation (a). Lateral view showing dorsal metaphyseal comminution (arrow) (b).
CRIOR2018-8351205.002.jpg
PMC5851171_01_CRIOR2018-8351205.002.jpg
fig2
However, dorsal metaphyseal fragments were larger than usual and displaced in a perpendicular plane in relation with the dorsal radial cortex (Figure 2).
CT scan performed at 6-month follow-up. The arrows show dorsal bone spur.
CRIOR2018-8351205.003.jpg
PMC5851171_01_CRIOR2018-8351205.003.jpg
fig3
New X-rays and CT scan showed sequel bone spicules at the dorsal epiphysis of the radius (Figure 3).
EDC laceration and EIP rupture (a). Dorsal exostoses (b).
CRIOR2018-8351205.004.jpg
PMC5851171_01_CRIOR2018-8351205.004.jpg
fig4
The fourth compartment was explored, with evidence of EDC rupture and EIP laceration (Figure 4).