Isolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is often most useful to detect these fractures. Proper treatment of extensive multilevel injury is ...

Trauma can render the elbow unstable via a combination of bone and ligament injuries. Some of these injuries feature subluxation rather than dislocation of the elbow. Effective treatment centers on restoring enough of the bony and ligamentous structures to keep the elbow in joint so that recovery can proceed as for a simple elbow dislocation. Recognition of distinct patterns of injury can help ...

Thoracolumbar spine trauma typically occurs when high-energy forces damage bony and ligamentous spinal structures and, in severe cases, the spinal cord. These injuries often cause considerable neurological deficits as a result of the damage. Computed tomography (CT) is the imaging method of choice for determining injury severity in most victims of multiple trauma. In addition to describing vari...

Fractures of the odontoid process are the most common cervical spine injuries in the elderly, and of these, type II fractures are the most frequent [1,2]. In this patient population, these fractures commonly occur with low-energy injury mechanisms, including falls from a standing height. With this mechanism, some restraints to displacement, such as those provided by the ligamentous structures, ...

Traumatic subdural hematomas (SDHs) in the posterior fossa in conjunction with cervical spinal hematomas are rare entities. In this case, we present a 22-year old man who presented to our institution with ligamentous injury at the cervicomedullary junction, associated with posterior fossa SDH not discovered initially, who on serial computed tomography scans was found to have symptomatic obstruc...

• The Subaxial Injury Classification (SLIC) and severity scale is recommended as a classification system for spinal cord injury. This system includes morphological, ligamentous, and neurological information in its scoring, thus communicating a greater amount of information regarding the extent of the patient’s injury. Its overall inter-rater reliability has an intraclass correlation coefficient...

ABSTRACT We present a case of shoulder instability following a traffic accident. Allman Type I midshaft clavicle, Ideberg Type II glenoid and DeCloux Type I scapular body fractures were diagnosed following radiologic examination. There were no signs of ligamentous injury. Mechanical instability was noted at the shoulder due to breakage of the supportive bony skeleton. The patient was treated su...

Background: Thoracolumbar spinal fractures include a range of injuries of various severities from simple apophysealfractures to neurological injury and complex fractures associated with vertebral dislocation. The treatment ofthoracolumbar fractures is challenging, especially due to the difficulty of evaluating the posterior ligamentous complex(PLC). The purpose of this study w...

BACKGROUND Although cervical spine trauma is more common following high velocity mechanisms of injury resulting in multiple injuries, falls and low velocity mechanisms may also result in serious cervical spine injury. OBJECTIVE This article describes the assessment and management of potential cervical spine injury in the primary care setting. DISCUSSION Patients presenting following trauma ...

Posterior cruciate ligament (PCL) injuries are rare, but they often require reconstruction, especially in the setting of combined ligamentous knee injury. Single-bundle transtibial PCL reconstruction is 1 technique for restoring this important ligament. However, this procedure is technically demanding, and complications can occur if poor techniques are used. This article analyzes the potential ...