Good one Rowley.
(1) I have concerns about the cranio-cervical junction - the
relationship between the basi-occiput and the dens isn't quite clear and
from what I can see doesn't seem quite right; ? atlanto-occipital
(2) Looks like a very long dens with a # at its uppermost part, seen
best on a negative image.
(3) The C4/C5 relationship makes me ask if there is a unifacetal
dislocation. There seems to be a # of the lower fact of C5 which might
cause this; again, this is more visible on a negative image.
(4) It is possible that there are fractures through the bodies of C5
(4) There is some bulging of the soft tissues at the C6/C7 junction,
with neither the whole of the body of C7 nor the C7/T1 junction being
I can't stand the suspense.
Happy New Year, all!
> -----Original Message-----
> From: Accident and Emergency Academic List [mailto:ACAD-AE-
> [log in to unmask]] On Behalf Of Rowley Cottingham
> Sent: 30 December 2005 09:11
> To: [log in to unmask]
> Subject: An xray for discussion
> I have posted an Xray on my website you might like to review.
> It is quite large, to warn those on dial-up, but that is to keep
> I'd be interested to hear people's views on it. There is very little
> clinical detail needed - agitated young male with no neck pain and no
> neurology. Unclear history of a possibly substantial fall.
> Is it normal?