Hyperflexion sprain of the cervical spine: a case study.

A case study is presented with a diagnosis of hyperflexion sprain resulting from an acceleration automobile accident. Ligamentous tear and disc compression are frequent manifestations with a true hyperflexion sprain. The radiographic appearance of true hyperflexion sprain may be confused with that of paracervical muscle spasm. Correct diagnostic interpretation is essential in differentiating these two conditions so that proper therapeutic measures may be determined.

Hereditary multiple exostosis: another etiology of short leg and scoliosis.

A case study is presented demonstrating a patient with a scoliosis as a result of a short leg. The etiology of the short leg was a large sessile osteochondrom in a patient with Hereditary Multiple Exostoses (HME). A review of the condition is presented.

Atypical presentation of ankylosing spondylitis: a case study.

Ankylosing spondylitis (Marie Strumpell's disease) is a chronic inflammatory disease which principally affects the axial skeleton. The earliest radiographic sign in 90% of the patients with ankylosing spondylitis is a bilateral sacroiliitis. Up to 3% of the patients with ankylosing spondylitis will not present with the initial sacroiliitis. A case is reported of a patient with an atypical presentation. The patient's radiographic presentation consisted of syndesmophytosis without sacroiliac involvement. However, due to the patient's symptoms, radiographic appearance, and laboratory studies, the diagnosis of an atypical ankylosing spondylitis was chosen.

Vertebral osteomyelitis as another cause of low back pain: case report.

A case is reported of a 47 year old man with an insidious onset of low back pain while hospitalized for septicemia. The etiology was not investigated and pharmacologic therapy was instituted. Several weeks after discharge, the patient presented to our chiropractic college clinic for the diagnosis and therapy for his low back pain. Radiologic examination of the lumbar spine revealed classic signs of a vertebral osteomyelitis. Manipulative therapy was contraindicated and the patient was referred for biopsy and appropriate antibiotic therapy. A review of the clinical presentation and appropriate diagnostic protocol are presented.

Shoulder pain and Pancoast tumor: a diagnostic dilemma.

Shoulder pain with radiation into the arm and hand in an ulnar nerve dermatomal pattern should be an indicator to the possible existence of a Pancoast tumor. The chiropractic physician should be aware of this malignant tumor and the characteristic clinical syndrome it produces. The physician should furthermore make every possible effort to include the apical region of the lung on any shoulder or cervical spine radiographs performed. By this careful technique and detailed interpretation of the films, the early and accurate diagnosis of a Pancoast tumor with appropriate referral can be made.

Prevalence of diagnoses on the basis of radiographic evaluation of chiropractic cases.

The use of plain film radiography has long been a staple of the chiropractic profession. Radiographic examinations are a valuable tool in the chiropractic diagnosis of a patient's condition. This study shows the results of a review of all the radiographic examinations performed in the Janse Chiropractic Clinic during the 1982 calendar year. The diagnosis are classed as musculoskeletal, cardiopulmonary, or abdominal. The multiplicity and variety of diagnoses in each classification is discussed in order to advise the chiropractic physician of the need for careful skilled interpretation of all radiographic series that are performed.