A missed Jefferson fracture in chiropractic practice.
J Manipulative Physiol Ther
; 24(3): 210-3, 2001.
Article
em En
| MEDLINE
| ID: mdl-11313618
ABSTRACT
OBJECTIVE:
To review the case of a missed cervical spine fracture in a patient with neck pain. CLINICAL FEATURES A 21-year-old thatcher with neck pain presented to a chiropractic clinic after a fall from a roof 4 m high. The hospital radiographs were read as normal. The chiropractor suspected a Jefferson fracture of the atlas after evaluation of the same radiographs. INTERVENTION ANDOUTCOME:
The chiropractor retook the anteroposterior open-mouth radiograph to confirm the suspected fracture. The patient was referred for further imaging and underwent neurosurgical treatment, after which he recovered well.CONCLUSION:
Normal radiologic reports from a hospital cannot be relied on for contraindications to manipulative treatment in all instances, as shown in this case of a missed fracture. Chiropractors should therefore always evaluate radiographs that are brought to them.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vértebras Cervicais
/
Quiroprática
/
Fraturas Ósseas
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article