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Cervical Fracture With Posterior Ligamentous Injury While Skydiving
The Journal of Orthopaedic and Sports Physical Therapy
|February 2, 2019
Summary
A skydiving injury initially diagnosed as neck strain was later found to be severe cervical fractures and ligament damage. Early imaging missed critical findings, highlighting the need for thorough evaluation of traumatic neck injuries.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Traumatic neck injuries can occur during high-impact recreational activities.
- Initial diagnosis of acute neck strain may not always reflect the severity of underlying injury.
Observation:
- A soldier sustained a hyperflexion injury during skydiving, presenting with severe acute neck pain.
- Initial emergency department evaluation with radiographs resulted in a diagnosis of acute neck strain.
Findings:
- Physical therapy consultation led to further imaging, revealing bilateral C6 lamina fractures.
- Cervical spine imaging confirmed ligamentous disruption at C5-C6, indicating a severe injury.
Implications:
- This case underscores the importance of comprehensive imaging and evaluation for traumatic neck injuries, even after initial benign diagnosis.
- Delayed diagnosis of cervical spine fractures can occur, necessitating a high index of suspicion in patients with persistent pain after trauma.
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