Crossword Puzzles:
Antidotes Used In Toxicology

Orthopedics

March 2005 Radiology Answers

Answers due by March 31st, 2005

This patient is a 60 year old male who presents to the emergency department with the chief complaint of "a refrigerator fell from a fork lift and hit me in the head." The patient is only complaining of laceration to the top of his head. The following radiographs were taken.

Questions:

1. Describe what you see?
                                         No evidence of fracture
                                         DJD at C5/C6
                                         Lytic lesion involving the vertebral body of C7.

2. Classify the following cervical spine injuries by mechanism of injury and stability:

 Injury                                           Mechanism                               Stability

 Bilateral facet dislocation                     Flexion                                 Unstable

 Simple Wedge fracture                       Flexion                                   Stable

 Clay shoveler's fx                              Flexion                                  Stable

 Flexion Teardrop fx                           Flexion                                   Unstable

 Odontoid fracture                       Flexion-varied                             Unstable

 Jefferson burst fx                        Axial Loading                              Unstable

 Extension teardrop fx                       Extension                                 Unstable

 Hangman's Fx                                  Extension                                 Unstable

 Unilateral facet dislocation          Flexion-rotation                     Potentially unstable

3. How would you manage this patient?

  Pain management
  Suturing the laceration
  Out patient bone scan
  Close follow-up with medicine clinic
 

Trivia:  Can you unscramble the artist and title of this album?
                           'PIANO SLUM - CANDLE RAG'

                   Answer:   Paul Simon - Graceland  

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