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Age: 8

Sex: Male

Indication: MVC

Medial Occipital Condyle “Notch”

Mimicking a Fracture

Findings Relating to the Mimic

  • No acute fracture or alignment.  Corticated depression in bilateral occipital condyles, consistent with normal medial occipital condylar notches.


  • The medial occipital condyle notch is a normal congenital variant, which could be mistaken for an impaction fracture.
  • It’s prevalence is most common from 1 to 12 years of age and is uncommon in adolescents and adults.


Sagittal CT demonstrates the medial occipital condyle notch (red arrow)

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