A missed Jefferson fracture in chiropractic practice

Autor:	Regelink, G. A., Annemarie de Zoete
Přispěvatelé:	Health Economics and Health Technology Assessment, APH - Methodology, APH - Societal Participation & Health
Předmět:	Adult Male Fractures Bone/diagnostic imaging Cervical Vertebrae/diagnostic imaging Chiropractic X-Ray Computed SDG 3 - Good Health and Well-being Bone/diagnostic imaging Humans Diagnostic Errors Tomography X-Ray Computed Fractures Tomography Netherlands
Zdroj:	Vrije Universiteit Amsterdam Journal of Manipulative and Physiological Therapeutics, 24(3), 210-3. Mosby Inc. Regelink, G A & de Zoete, A 2001, ' A missed Jefferson fracture in chiropractic practice ', Journal of Manipulative and Physiological Therapeutics, vol. 24, no. 3, pp. 210-3 .
ISSN:	0161-4754
Popis:	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 AND OUTCOME: 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.
Databáze:	OpenAIRE
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