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Diagnosis: L1 Burst Fracture.

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Diagnosis: L1 Burst Fracture.

History: History: 34 y/o active duty white male with 2/10 lower back pain after a fall. The fall occurred while exiting a helicopter at an unknown height by “fast-roping:” sliding down a rope suspended from the helicopter using only hands and feet to control speed of descent. Initially he landed on his feet, but then he fell onto his sacrum. The onset of pain was immediate and localized to his lower back. Since the date of injury, the patient denies change in quality or radiation of pain, lower extremity numbness or weakness, loss of bladder or bowel control, erectile dysfunction.

Findings: Imaging Findings: L-Spine: Lateral view shows anterior wedging of the L1 vertebral body. The superior end-plate of L1 is displaced posteriorly approximately 1 cm relative to the inferior end plate of T12. The inferior end-plate of L1 is displaced posteriorly approximately 0.5 cm relative to the superior end-plate of L2. CT: Fracture of the L1 vertebral body with posterior displacement of the central fragment, right lateral displacement of the right fragment.

Ddx: Differential Diagnosis for these findings in this case: L1 Burst Fracture

Exam: Physical Exam and Laboratory: Pertinent physical exam findings: Lower extremities were neurovascularly intact distally with brisk capillary refill and no edema. Patellar and Achilles deep tendon reflexes were 2+ and symmetric. Babinksi sign was negative. Strength was 5/5 in bilateral iliopsoas, quadriceps, hamstrings, tibialis anterior, gastrocnemius, extensor hallicus longus. Cranial nerves II – XII were intact. Sensation and proprioception were normal and symmetric in both upper and lower extremities. There was no tenderness to palpation on the patients back or costovertebral angle tenderness. Gait was normal.

No MeSH data available.


CT Lumbar spine
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MPX2354_synpic20937: CT Lumbar spine


Diagnosis: L1 Burst Fracture.

Patterson RAP - MedPix

CT Lumbar spine
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2354&req=5

MPX2354_synpic20937: CT Lumbar spine

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Diagnosis: L1 Burst Fracture.

History: History: 34 y/o active duty white male with 2/10 lower back pain after a fall. The fall occurred while exiting a helicopter at an unknown height by “fast-roping:” sliding down a rope suspended from the helicopter using only hands and feet to control speed of descent. Initially he landed on his feet, but then he fell onto his sacrum. The onset of pain was immediate and localized to his lower back. Since the date of injury, the patient denies change in quality or radiation of pain, lower extremity numbness or weakness, loss of bladder or bowel control, erectile dysfunction.

Findings: Imaging Findings: L-Spine: Lateral view shows anterior wedging of the L1 vertebral body. The superior end-plate of L1 is displaced posteriorly approximately 1 cm relative to the inferior end plate of T12. The inferior end-plate of L1 is displaced posteriorly approximately 0.5 cm relative to the superior end-plate of L2. CT: Fracture of the L1 vertebral body with posterior displacement of the central fragment, right lateral displacement of the right fragment.

Ddx: Differential Diagnosis for these findings in this case: L1 Burst Fracture

Exam: Physical Exam and Laboratory: Pertinent physical exam findings: Lower extremities were neurovascularly intact distally with brisk capillary refill and no edema. Patellar and Achilles deep tendon reflexes were 2+ and symmetric. Babinksi sign was negative. Strength was 5/5 in bilateral iliopsoas, quadriceps, hamstrings, tibialis anterior, gastrocnemius, extensor hallicus longus. Cranial nerves II – XII were intact. Sensation and proprioception were normal and symmetric in both upper and lower extremities. There was no tenderness to palpation on the patients back or costovertebral angle tenderness. Gait was normal.

No MeSH data available.