Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 976
Clinical Information 246 CI
“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.
Mark Studin DC, FASBE(C), DAAPM, DAAMLP