CCSP - RADIOLOGY REVIEWED
SUMMARY GOOD FOR REVISION
Cervical Spine RTP Criteria
1. No neurological signs or symptoms
2. Normal or very near normal, pain free range of motion
3. Negative compression testing
4. Normal muscle strength
5. No instability
6. The athlete feels they are ready to RTP
Risk with cervical flexion of 30 degrees
• loses its flexibility and acts as a segmented column
• Problem with axial compression
Vertebral Instability
> 11 degrees of rotation
or
> 3.5 mm translation
Torg's Ratio
< 0.80 (Spinal Canal Width/ Vertebral Body Width) is
stenosis
most common sign of cervical spine fracture or
dislocation
spinal pain
most important view to evaluate cervical spine trauma
lateral view
,neck pain that is increased with cervical spine flexion
and extension is associated with...
ligamentous instability
most common location for vertebral dislocation
C5/6
Odontoid Fractures
Three types (I, II, III)
Atlantoaxial Instability
RA (25%), Downs Syndrome (40%)
Atlantoaxial Instability: Sports that need screening for
at risk populations
• Gymnastics
• Diving
• Swimming (Butterfly)
• High Jump
• Pentathalon
• Soccer
ADI Ranges
• Adult Normal = < 3
• Child Normal = < 4
• ADI of 6.5 - 11 is HIGHLY associated with neurological
s/s and usually have fusion
flexion teardrop fracture
unstable flexion fracture
extension teardrop fracture
stable injury
Bankart's fracture
• fracture of anterior glenoid associated with anterior
shoulder dislocation
• MOI: external rotation and abduction of shoulder
Barton's fracture
, • distal radius fracture involving the articular surface with
dislocation of the radiocarpal joint
• MOI: FOOSH
Bennett's fracture
• intra-articular fracture of base of first metacarpal
• MOI: axial load along metacarpal in a partially flexed
thumb
Bosworth fracture
• fracture of distal fibula with posterior dislocation of the
proximal fibula behind the tibia
• MOI: severe external rotation of the foot
Boxer's fracture
• fracture of distal 1st/2nd metacarpal
• MOI: punching solid object
Bumper fracture
• compression fracture of lateral tibial plateau
• MOI: forced valgus of knee when struck from side by car
bumper
Chance fracture
• horizontal fracture of vertebral body hyper-flexion of
spine
• MOI: seen in car accidents when only a lap belt is used
Chauffeur's fracture
• intra-articular fracture of radial styloid
• MOI: forced ulnar deviation of the wrist causing avulsion
of the radial styloid
• AKA Hutchinson's Fracture
Clay shoveller's fracture
• spinous process fracture of C6, C7 or T1
• MOI: forced hyper-flexion of neck
Colles fracture
SUMMARY GOOD FOR REVISION
Cervical Spine RTP Criteria
1. No neurological signs or symptoms
2. Normal or very near normal, pain free range of motion
3. Negative compression testing
4. Normal muscle strength
5. No instability
6. The athlete feels they are ready to RTP
Risk with cervical flexion of 30 degrees
• loses its flexibility and acts as a segmented column
• Problem with axial compression
Vertebral Instability
> 11 degrees of rotation
or
> 3.5 mm translation
Torg's Ratio
< 0.80 (Spinal Canal Width/ Vertebral Body Width) is
stenosis
most common sign of cervical spine fracture or
dislocation
spinal pain
most important view to evaluate cervical spine trauma
lateral view
,neck pain that is increased with cervical spine flexion
and extension is associated with...
ligamentous instability
most common location for vertebral dislocation
C5/6
Odontoid Fractures
Three types (I, II, III)
Atlantoaxial Instability
RA (25%), Downs Syndrome (40%)
Atlantoaxial Instability: Sports that need screening for
at risk populations
• Gymnastics
• Diving
• Swimming (Butterfly)
• High Jump
• Pentathalon
• Soccer
ADI Ranges
• Adult Normal = < 3
• Child Normal = < 4
• ADI of 6.5 - 11 is HIGHLY associated with neurological
s/s and usually have fusion
flexion teardrop fracture
unstable flexion fracture
extension teardrop fracture
stable injury
Bankart's fracture
• fracture of anterior glenoid associated with anterior
shoulder dislocation
• MOI: external rotation and abduction of shoulder
Barton's fracture
, • distal radius fracture involving the articular surface with
dislocation of the radiocarpal joint
• MOI: FOOSH
Bennett's fracture
• intra-articular fracture of base of first metacarpal
• MOI: axial load along metacarpal in a partially flexed
thumb
Bosworth fracture
• fracture of distal fibula with posterior dislocation of the
proximal fibula behind the tibia
• MOI: severe external rotation of the foot
Boxer's fracture
• fracture of distal 1st/2nd metacarpal
• MOI: punching solid object
Bumper fracture
• compression fracture of lateral tibial plateau
• MOI: forced valgus of knee when struck from side by car
bumper
Chance fracture
• horizontal fracture of vertebral body hyper-flexion of
spine
• MOI: seen in car accidents when only a lap belt is used
Chauffeur's fracture
• intra-articular fracture of radial styloid
• MOI: forced ulnar deviation of the wrist causing avulsion
of the radial styloid
• AKA Hutchinson's Fracture
Clay shoveller's fracture
• spinous process fracture of C6, C7 or T1
• MOI: forced hyper-flexion of neck
Colles fracture
