Nonossifying Fibroma

By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History A 10-year-old male gymnast presents with post-traumatic ankle pain following a fall from the platform bar. Radiographic examination reveals: Figure 1. Diagnosis: Nonossifying fibroma (fibrous xanthoma) of the distal tibial metaphysis with a spiral pathological fracture. Fibrous Xanthoma of Bone—Nonossifying 

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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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Radiology Corner – Pseudo or Degenerative Spondylolisthesis

By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Chad J. Maola, DC DISCUSSION Degenerative spondylolisthesis is a type of non-spondylolytic spondylolisthesis (no pars defects). Degenerative spondylolisthesis can affect any degenerated vertebral segment positioned within a lordotic curve. In the lumbar spine, it most commonly affects L4 (Figs. 2 & 3), with approximately 10 times 

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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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Radiology Corner – SLAC Wrist

By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History  This adult male patient presents with pain in the wrist. Observe the widened scapholunate space. What may this be indicative of? Diagnosis The widening of the scapholunate space is characteristic of scapholunate disassociation creating the classic “Terry Thomas Sign.” This 

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