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Báo cáo y học: " Clinical presentation of a traumatic cervical spine disc rupture in alpine sports: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical presentation of a traumatic cervical spine disc rupture in alpine sports: a case report | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Case report Clinical presentation of a traumatic cervical spine disc rupture in alpine sports a case report Timo M Ecker 1 2 Mark Kleinschmidt12 Luca Martinelli11 Heinz Zimmermann11 and Aristomenis K Exadaktylos11 Address Department of Emergency Medicine University of Bern Inselspital Bern 3010 Bern Switzerland and 2Department of Orthopaedic Surgery University of Bern Inselspital Bern 3010 Bern Switzerland Email Timo M Ecker - timo.ecker@insel.ch Mark Kleinschmidt - mark.kleinschmidt@insel.ch Luca Martinolli - luca.martinolli@insel.ch Heinz Zimmermann - heinz.zimmermann@insel.ch Aristomenis K Exadaktylos - exadaktylos@exadaktylos.ch Corresponding author fEqual contributors Published 12 November 2008 Received 21 September 2008 __ __.z.x Accepted 12 November 2008 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2008 16 14 doi I0.II86 I757-7241-16-14 This article is available from http www.sjtrem.com content I6 I I4 2008 Ecker et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Isolated non-skeletal injuries of the cervical spine are rare and frequently missed. Different evaluation algorithms for C-spine injuries such as the Canadian C-spine Rule have been proposed however with strong emphasis on excluding osseous lesions. Discoligamentary injuries may be masked by unique clinical situations presenting to the emergency physician. We report on the case of a 28-year-old patient being admitted to our emergency department after a snowboarding accident with an assumed hyperflexion injury of the cervical spine. During the initial clinical encounter the only .