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.
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11 comments:
Jefferson fracture.
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.
C. Jefferson fracture
Jefferson Fracture
c. Jefferson fracture
I'm going to have to agree with the previous posters answer...Jefferson fracure
c.jefferson
C. Jefferson's fracture
c. jefferson fracture (burst fracture of C1)
c. jefferson fracture
C. Jefferson Fracture
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