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March 25, 1939

FRACTURE-DISLOCATION OF AXIS AND ATLAS IN AN INFANT

Author Affiliations

Norwalk, Conn.

From the Norwalk General Hospital.

JAMA. 1939;112(12):1149-1150. doi:10.1001/jama.1939.62800120002009a

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Abstract

Extensive search of the literature has failed to yield any report of a condition similar to the one to be described. Treatment of the condition is evidently rare, probably owing to the small number of infants relative to the general population, to their sheltered lives and to the great opportunity for death to follow the injury before treatment can be applied. We have found our case interesting from the standpoints of cause, diagnosis and therapy.

REPORT OF CASE  A 4½2 months old, poorly nourished white boy was rushed into the emergency room of the hospital by an excited father, who asserted that the boy had just been severely shaken by him. The house physician present at once recognized that the child was dying. He sent the nurse into the halls to look for the nearest attending surgeon, while he went about examination of the infant's chest and the administration of

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