closed reduction
Atlanto-axial Rotatory Instability
Definition
Acute dislocation of the atlanto-axial facet joint
Present with acute torticollis
Etiology
Children
Lateral Condyle Fractures
Epidemiology
Average age 6 years
20% distal humeral fracture
- second most common elbow fracture after supracondylar
Mechanism
Pull Off
- more common
- fracture begins posterolateral metaphysis
- LCL, ECRL & ECRB attached to fragment
Push off
- varus force to extended EJ
Classification