Hangman’s Fracture

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 

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Pedal Stress Fractures and Orthotic Support

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 

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Radiology Corner – Monostotic Fibrous Dysplasia

  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. 

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Shin Splints, Stress Fractures, and Orthotic Support

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 

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Radiology Corner – Clay-Shoveler’s Avulsion Fracture

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 

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Leg Length Discrepancy: Treating the Conditions

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 

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Radiology Corner – Ewing’s Sarcoma

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 

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Plantar Fasciitis, the King of Foot Pain

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 

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