By: Terry Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This young adult male patient was in a motor vehicle accident, where he received a severe hyperextension-hyperflexion injury. A complete set of conventional radiographs was performed and an abnormality was detected on the lateral projection. Can you identify the pathology? Figure
By Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This 35-year-old female patient presents with a history of severe “whiplash” and cervicodorsal pain. An abnormality of T2 is identified. Is this a fracture? Is additional imaging necessary to confirm this? Figure 1 Diagnosis: The abnormality at the T2 vertebral segments
By: Mark N. Charrette, DC Stress fractures are a common cause of foot pain, especially in the active population.1 Patients will report a dull, aching pain sensation in the foot that is often poorly localized (Fig. 1). The nagging pain increases during weightbearing and gait, and often remains for a while after use. It commonly subsides
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This adult male patient reports with a history of trauma to the upper lumbar spine and lumbosacral junction after a severe fall. Can you find any fractures? If so, where are they? (See next page.) Diagnosis Fractures of the left first,
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This adult female patient fell on a hyperextended elbow and wrist while jogging. There is considerable restriction in range of motion of the elbow with localized elbow pain. What do you see? Diagnosis There is a vertical fracture line extending through
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, Michael S. Barry, DC, DACBR, and Chad J. Maola, DC The Ischial Tuberosity: Normal Variant or Pathology? History This young female presents with pain in the area of the ischial tuberosity following running hurdles for her track team. There is an unusual appearance of the ischial tuberosity.
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, Michael S. Barry, DC, DACBR, and Chad J. Maola, DC History This young adult male fell on an outstretched hand, locking his elbow while jogging. He immediately experienced pain on the lateral side of the elbow. Can you find the abnormality? Diagnosis Observe the radiolucent fracture of
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This young adult presents with pain in the hip after suffering trauma. Is there a fracture? DIAGNOSIS Monostotic Fibrous Dysplasia. Observe the geographic radiolucency just below the lesser trochanter. There is a “ground glass” matrix and a sclerotic border.
By: Tim Maggs, DC In athletes, shin splints and stress fractures are typically a result of repetitive motion injury in one or more supportive muscles in the lower leg. Very often these muscles work without ever fully recovering before being asked to perform again. All athletes use similar muscles as they participate in sport specific
By: John K. Hyland, D.C., DACBR DABCO, Terry R. Yochum, D.C., DACBR, and Michael S. Barry, D.C., DACBR Bone Marrow Edema and Postural Misalignment: A Preliminary Report Download PDF Now
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Chad J. Maola, DC History This 24-year-old female patient was involved in a motor vehicle accident sustaining hyperextension/hyperflexion injury. Discussion Clay-shoveler’s avulsion fracture (coal-miner’s fracture) is an avulsive injury of the spinous process. The injury derives its name from its common occurrence in clay miners in Australia
By: Jon Mulholland, DC – January 13, 2015 Watch the Webinar Here
By: K. Jeffrey Miller DC, DABCO Recently, I had lunch with another Chiropractor. When our waitress discovered we were both Chiropractors she began asking dozens of questions. At first I thought it was because she found Chiropractic to be an interesting subject. However, her line of questioning quickly led me to realize that it was
Detect, Correct, and Prevent Conditions Caused by Leg Length Discrepancies By: John Palo, BS, DC, CCSP, DABCO “Doctors, teachers, and those who nurse the sick should be aware what sort of thing is man, what is life, what is health, and in what manner a parity and concordance of the elements maintains it; while a discordance of these
By: K. Jeffrey Miller, DC, DABCO I once X-rayed an elderly patient who had been involved in an automobile accident. When the films came out of the processor I placed the lateral cervical view on the view box to check the quality of the pictures. I immediately noticed what I thought was a scratch from
By: Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C. Case History: This 21 year old male complains of lateral ankle pain of one month duration. Diagnosis: Observer the lytic moth-eaten (permeative) destruction of the distal diametaphysis of the fibula. The initial differential diagnosis was osteomyelitis versus primary malignant tumor. Biopsy confirmed
Download PDF Plantar Fasciitis and His Nasty Apprentice, the Heel Spur Also known as “heel pain syndrome,” plantar fasciitis is the most common cause of heel pain, resulting from a gradual degeneration of the plantar fascia or sudden trauma to the area. Patients may describe the sensation as a sharp stab or deep ache in
Download PDF Now Inversion Sprain The most common type of ankle sprain is the inversion sprain. Upwards of 85% of ankle sprains are of the inversion variety. It occurs when the foot is forcefully inverted or rolled inward, while the foot/ankle is in some degree of plantar flexion, affecting the lateral aspect of the ankle.