Halfpap Joshua P, Cho Aaron A, Rosenthal Michael D
J Orthop Sports Phys Ther. 2016 Oct;46(10):929. doi: 10.2519/jospt.2016.0416.
A 51-year-old man presented to a direct-access physical therapy clinic with persistent neck pain for 5 days after a fall in shallow water while surfing. Based on "dangerous mechanism of injury" from the Canadian cervical spine rule as being a high risk factor, the physical therapist ordered radiographs of the cervical spine, which were suggestive of a more serious injury. Computed tomography suggested and magnetic resonance imaging confirmed vertebral artery dissection. J Orthop Sports Phys Ther 2016;46(10):929. doi:10.2519/jospt.2016.0416.
一名51岁男性因冲浪时在浅水区摔倒后颈部持续疼痛5天，前往一家可直接就诊的物理治疗诊所。根据加拿大颈椎规则中“危险损伤机制”这一高危因素，物理治疗师开具了颈椎X光片，结果提示存在更严重的损伤。计算机断层扫描显示并经磁共振成像证实为椎动脉夹层。《骨科与运动物理治疗杂志》2016年；46(10):929。doi:10.2519/jospt.2016.0416 。
