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Related Experiment Videos

it's all in the history.

J J Novotny1

  • 1Private Practice, Narrewarren, Victoria, Australia.

COMSIG Review
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

A patient presented with acute torticollis, but imaging revealed a rare Jefferson fracture. This highlights the importance of diagnostic imaging even when trauma is denied.

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Area of Science:

  • Orthopedics
  • Radiology
  • Chiropractic

Background:

  • Acute torticollis is a common presentation in chiropractic practice.
  • Patient history is crucial but can sometimes be misleading regarding trauma.

Observation:

  • A patient presented with acute torticollis and denied any preceding trauma.
  • Clinical examination and radiological investigations were performed.

Findings:

  • Radiological investigation revealed a Jefferson fracture, a rare injury of the upper cervical spine.
  • An associated rupture of the osseous attachment of the transverse ligament was identified.

Implications:

  • This case underscores the necessity of thorough radiological assessment in cases of acute torticollis, irrespective of reported trauma.
Keywords:
CT scanCase historyJefferson fractureatlaschiropractictorticollis
  • It highlights a potentially serious underlying pathology that may be missed with a history-focused approach alone.
  • Chiropractic management should consider advanced imaging to rule out occult fractures.