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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 665-669.
doi: 10.1302/0301-620X.88B5.16598  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Occipital condylar fractures

REVIEW OF THE LITERATURE AND CASE REPORT

I. Alcelik, MRCS, AFRCSI, Senior House Officer1; K. S. Manik, MB ChB(Leicester), MA(Cantab), Clinical Assistant2; P. S. Sian, MRCS, Senior House Officer3; and S. E. Khoshneviszadeh, MB ChB(Leeds), Senior House Officer4

1 Department of Orthopaedics, James Cook University Hospital, Marton Road, Middlesborough, Cleveland TS4 3BW, UK.
2 Department of Accident and Emergency, Bradford Royal Infirmary, Duckworth Lane, Bradford, West Yorkshire BD9 6RJ, UK.
3 Department of Orthopaedics, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK.
4 Department of Medicine, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.

Correspondence should be sent to Dr K. S. Manik; e-mail: ksmanik{at}hotmail.com

Fractures of the occipital condyle are rare. Their prompt diagnosis is crucial since there may be associated cranial nerve palsies and cervical spinal instability. The fracture is often not visible on a plain radiograph. We report the case of a 21-year-old man who sustained an occipital condylar fracture without any associated cranial nerve palsy or further injuries. We have also reviewed the literature on this type of injury, in order to assess the incidence, the mechanism and the association with head and cervical spinal injuries as well as classification systems, options for treatment and outcome.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General