How is occipital condyle fracture treated?
Management should consist of up-front occipitocervical fusion or halo fixation in cases demonstrating occipitocervical misalignment, or of immobilization in a rigid cervical collar followed by delayed clinical and radiographic evaluation in a spine trauma clinic if misalignment is not present.
How long does it take for occipital bone to heal?
Overall, most skull fractures heal on their own and don’t need surgery as long as there aren’t associated injuries to other structures such as the brain. They heal over time, usually over six weeks.
Is occipital condyle a bone?
The occipital bone is an anteriorly concave bone that forms the base of the cranium. The occipital condyles are paired kidney-shaped structures that form the base of the occipital bone and are the structural bases for the articulation of the skull with the cervical spine.
What is right occipital condyle?
Each occipital condyle articulates along a shallow groove atop each lateral mass of C1 (atlas). This articulation is directly stabilized by 7,8: atlanto-occipital joint capsule. alar ligaments (dens to each occipital condyle)
What is occipital condyle fracture?
Occipital condyle fractures are traumatic injuries that involve articulation between the base of the skull and the cervical spine.
How many occipital condyle are there?
occipital condyle A single or paired bony knob that protrudes from the occipital bone of the skull and articulates with the first cervical vertebra (the atlas). In humans there is a pair of occipital condyles, one on each side of the foramen magnum.
When does a skull fracture require surgery?
The role of surgery is limited in the management of skull fractures. Infants and children with open depressed fractures require surgical intervention. Most surgeons prefer to elevate depressed skull fractures if the depressed segment is more than 5 mm below the inner table of adjacent bone.
What is the function of a condyle?
Condyle – Refers to a large prominence, which often provides structural support to the overlying hyaline cartilage. It bears the brunt of the force exerted from the joint. Examples include the knee joint (hinge joint), formed by the femoral lateral and medial condyles, and the tibial lateral and medial condyles.
Can you feel occipital condyle?
Most of the time, people may not notice their occipital lymph nodes. When they are normal in size, they are difficult to detect. However, if the occipital lymph nodes are fighting off an illness or infection, they may get bigger. A person may be able to see and feel them, and they may be painful or tender to the touch.
What is condyle fracture?
A condylar fracture is a repetitive strain injury that results in a fracture to the cannon bone above the fetlock due to large loads transmitted over the cannon bone during high-speed exercise.
In which bone occipital condyle is present?
The occipital condyles are two large protuberances on the undersurface of the occipital bone, located besides the front half of the foramen magnum. It forms the connection between the skull and the vertebral coloumn.
What type of skull fracture requires surgery?
Depressed skull fracture In this fracture, part of the skull is sunken from the trauma and may require surgical intervention, depending on the severity, to help correct the depression.
How is an unstable occipital condyle fracture treated?
Isolated unstable fracture may be treated by posterior occipitocervical fusion 7. When considered according to Anderson and Montesano types, Type I and II injuries are generally stable because the alar ligament and tectorial membrane are preserved, while type 3 is potentially unstable.
Is there a condylar head fracture on the left side?
This coronal view demonstrates bilateral condylar process fracture with displacement. There is a condylar neck fracture with angulation on the patient’s right side, and on the left side, there is a sagittal condylar head fracture medial to the lateral pole. On the right side, the height of the mandible is not reduced.
How is the condylar fragment displaced in a fracture?
The condylar fragment may be displaced (most often laterally) based on the angulation of the fracture and predominant muscle pull. CT and/or digital volume tomography (DVT) is extremely useful, especially in high and/or intracapsular fractures of the condyle.
What are the condyles of the occipital bone?
Anatomy Osteology occipital condyles are paired prominences of the occipital bone. oval or bean shaped structures forming lateral aspects of the foramen magnum Joint articulations intrinsic relationship between occiput, atlas and axis to form the occipitoatlantoaxial complex or CCJ.