• Der Unfallchirurg · May 2016

    [Imitation of an Anderson type II dens fracture by a motion artefact in computed tomography : Four case examples].

    • M Morgenstern, J Friederichs, C Gärtner, V Bühren, and O Gonschorek.
    • Abteilung für Unfallchirurgie, Berufsgenossenschaftliche Unfallklinik Murnau, Prof.-Kuentscher-Str. 8, 82418, Murnau am Staffelsee, Deutschland. Mario.Morgenstern@bgu-murnau.de.
    • Unfallchirurg. 2016 May 1; 119 (5): 450-3.

    AbstractComputed tomography (CT) is the method of choice in the diagnosis and classification of odontoid fractures with a sensitivity of more than 99 % and a specificity almost equally as high. In this article we report on four cases where CT-generated motion artefacts exactly mimicked an Anderson type II fracture of the dens axis, initially leading to a wrong diagnosis. Although this seems to be a very rare event, these cases indicate that overlooked CT motion artefacts can lead to severe consequences and attention must be paid to the radiological signs outlined in this report.

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