Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 976
Clinical Information 246 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Missed Limbus and Annular Fissure”

 “I'm relaxed because I know” Mark Studin 2018


Thank you Dr. Mark Lesko from Austin TX a Fellow candidate, a Trauma Team Member for the images. Dr. Lesko writes:

 21 year old male, no prior history of trauma. Rear impact MVA. Initial MRI was read as “normal”. I felt the study showed herniation at C4-C5, so I had the study re-read by the neuroradiologist (who should have read the study to begin with per my instructions to MRI center), C4-C5 herniation was confirmed. On plain films, patient had what appears to be either a limbus bone vs chip fracture on anterior-superior body of C5. On stress films it appears to have slight motion. On sagittal T2 you can see high signal in this area. (I am enclosing this additional view). No mention of this on either report.







Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences 

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