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Case of the Week 455


What is the most likely diagnosis?

  • 54 year-old female with neck pain after fall



Frontal and Lateral Radiographs of Cervical Spine

  1. Hangman's Fracture
  2. Jefferson Fracture
  3. Unilateral Locked Facet
  4. Clay Shoveler's Fracture
  5. Retropharyngeal Abscess

Additional Image - Axial CT of Cervical Spine

 

Additional Images

 

Axial CT of Cervical Spine


Answer:

.


3. Unilateral Locked Facet

.

.

More (Click Discussion Tab)

 

 

Unilateral Locked Facet


Ligamentous Injuries

  • Mechanism is flexion/distraction
    • Injury is to the posterior spinal ligamentous complex
    • Unstable in flexion; stable in extension
    • If unrecognized, can lead to progressive neurologic damage
  • Imaging Findings
  • Widening of the interspinous distance
  • Slight anterior subluxation of one vertebral body on another
  • Widening of the facet joint
  • Usually the posterior aspect
  • Disk space narrower anteriorly than posteriorly

 

MORE . . .

 


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54 year-old female with neck pain after fall
 
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The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
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LearningRadiology.com
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