Abstract

We report a case of artefactual C2 fracture caused by a superimposed incisor tooth in a seven-year-old boy. CT refuted the diagnosis. Trauma clinicians should be aware of this entity to guide correct interpretation of trauma X-rays.

Highlights

  • The initial assessment of trauma patients, especially those who are clinically stable or who have been isolated and nonlife-threatening injuries, remains based on clinical evaluation supplemented by plain X-rays

  • In recent years there has been an increase in use of CT earlier in the evaluation of trauma patients due to published guidelines [1]

  • We report a case of artefactual C2 fracture due to a superimposed incisor tooth resulting in unnecessary transfer of a child and subsequent CT scanning

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Summary

A Teething Problem

Academic Neurosurgery Unit, St George’s University of London, London SW17 0RE, UK. We report a case of artefactual C2 fracture caused by a superimposed incisor tooth in a seven-year-old boy. Trauma clinicians should be aware of this entity to guide correct interpretation of trauma X-rays

Introduction
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