Reverse hamburger sign with bifacet fracture dislocation of | Figure 1

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Reverse hamburger sign with bifacet fracture dislocation of c6/c7

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This is a follow up on my earlier case - fracture/dislocation of humerus neck. The patient is in much pain not just because of the fracture, but also dislocation. It seems reasonable to want to put the joint back in a better position. As such with strong analgesia and adequate sedation reduction is attempted. With all the muscles relaxed, the humeral head goes back into position without vigorous manipulation. Once reduced, you are left with only one problem - a fractured neck of humerus. A CT scan and surgical intervention may well be required.

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