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Question
i was recently in a bad car wreck and had 3 fractured ribs, 1 collapsed lung, 1 fractured clavical and the doctor said that i had a fracture in my neck but he said that it looked like an old injury. i picked up my hospital report regarding my injuries so that i could go to a pain clinic and recieve treatment but as i wait for my upcoming apointment i am having a hard time understanding the report regarding my fracture in my neck. it reads - "there is no gross evidence of boney fracture. there is a hairline thin lucency present along the anterior ring of c1. this may be artifactual as the c1 ring appears intact. there is no soft tissue edema. this could be reevaluated on follow up imaging."
my question is what exactly does this mean ? if it suggests a stress fracture then why does it say there is no gross evidence of boney fracture ? will the doctor at the pain clinic be able to evaluate my neck pain with this report alone or will i need an additional ct scan ? any help will be greatly appreciated and thank you.
Chris,
This most likely is an artifact on the CT. The second option is that you cracked it a long time ago. If it was a fresh, new, obvious (gross) fracture, the CT image would have been more distinct and the radiologist would have called it. Also, the anterior ring is not a common fracture site. The pain clinic doc could peek at it, no problem.
Dr. G
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- Scott F. Gillman, DC, DACBSP
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Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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