Radiology ReviewApril, 2010
You are called to the emergency room to evaluate a 26-year-old man who presents with neck pain secondary to a motor vehicle crash that occurred two days ago. The patient was an unrestrained rear-seat passenger in a vehicle that hit a telephone pole. The patient does not remember striking his head, just getting “jostled around.” He denies loss of consciousness. He has mild neck discomfort and denies any extremity weakness or numbness.
His medical history is unremarkable. Vital signs are normal. Physical exam overall is normal, with mild tenderness to palpation in the back of the neck. Examination of the extremities shows no motor or sensory deficits.
Radiograph of the cervical spine is obtained and shown.