IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Chance fracture

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Trampoline accident

Patient Data

Age: 18 years
Gender: Female

Trauma Radiology Course: 8 hours of video teaching >>> REGISTER

x-ray

On the AP film the posterior elements of T12 are poorly seen and the distance between the T11 and T12 spinous processes appears markedly increased. Lateral film confirms kyphotic wedge of the T12 vertebral body with horizontal fracture through the posterior elements with interspinous widening. 

ct

CT confirms Chance fracture of T12. 

mri

Chance fracture of T12 with complete tear of the T11-12 ligamentum flavum and supraspinous ligament.

Case Discussion

Typical plain radiographic, CT and MRI appearance of a vertebral chance fracture. It is worth noting that these can be associated with retroperitoneal injuries (pancreatic and duodenal injury).  

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.