THE WRITTEN EMERGENCY MEDICINE FELLOWSHIP COURSE

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emq: trauma week 1.

Match the description of each c-spine fracture to the correct diagnosis.

​Flexion teardrop fracture
Bilateral facet joint dislocation
Clay shoveler’s fracture
Anterior subluxation injury
Wedge compression fracture




​Jefferson fracture
Unilateral facet joint dislocation
Hangman’s fracture
Posterior neural arch fracture
Extension teardrop fracture.
EMQ 1.
 
Flexion of the spine along the vertical axis causes anterior compression of a spinal body with anterior displacement of an anteroinferior fragment.
 
Answer: flexion teardrop fracture
 
EMQ 2.
 
Abrupt flexion of the neck combined with contraction of the upper body and lower neck muscles avulses a segment of the C7 spinous process.
 
Answer: clay shoveler fracture.
 
EMQ 3.
 
A downwards compression force transmitted through the occipital condyles displaces the lateral masses and fractures the anterior and posterior arches of the atlas.
 
Answer: Jefferson fracture (burst fracture of C1)
 
EMQ 4.
 
Hyperextension causes bilateral fractures through the pedicles of C2.
 
Answer: Hangman’s fracture
 
EMQ 5.
 
Hyperextension of the head compresses C1 against C2 causes the posterior arch of c1 to fracture. The transverse ligament and anterior arch are not involved.
 
Answer: posterior neural arch fracture.
take me to the answers!

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