Wednesday, December 19, 2007

Vol 1:4 Question





Trauma
A 17-year-old high school football player is brought to the ED by paramedics on a backboard and cervical collar. During a football game, the patient “speared” another player with his helmet and subsequently experienced severe neck pain. He denies paresthesias and is able to move all of his extremities. A cervical spine CT scan reveals multiple fractures of the first cervical vertebra. Which of the following best describes this fracture?
a. Odontoid fracture
b. Hangman fracture
c. Jefferson fracture
d. Clay-Shoveler’s fracture
e. Teardrop fracture


Please submit your answer in the "comment" section. The person with the most correct entries at the end of the month will receive a copy of the book PreTest Emergency Medicine.

For more information about the contest, please click here.

quizzER is a weekly contest consisting of a question selected from various areas of emergency medicine that are central to the education of medical students and residents in training. For more information please refer to the following link.

11 comments:

WongML said...

Jefferson fracture.

The T-Dude said...

I would have to say Jefferson fracture.

This better describes the C1 involvement and the action of getting "speared" is similar to having a diving injury which is a common cause of this type of fracture.

Joshua said...

C. Jefferson fracture

Smitty said...

Jefferson Fracture

Carola said...

c. Jefferson fracture

Kovac said...

I'm going to have to agree with the previous posters answer...Jefferson fracure

Rune said...

c.jefferson

Greg said...

C. Jefferson's fracture

Andaleeb said...

c. jefferson fracture (burst fracture of C1)

Andaleeb said...

c. jefferson fracture

HicksterAZ said...

C. Jefferson Fracture