Author: Douglas Gregerson, DC, DACBR

Aggressive Lesion

Posted by Douglas Gregerson, DC, DACBR | Jan 22, 2020 | Clinical, Diagnosis, Examination and Consultation, Neurology, Practice Management, Radiology | 0 |

The following case occurred earlier this year. It is fairly representative of the benefit of imaging in the chiropractic setting and demonstrates the service that an astute Doctor of Chiropractic can provide.

Calcification of the Stylohyoid Ligaments and Thyroid Cartilage Mimicking Vertebral Artery Calcification

Posted by Douglas Gregerson, DC, DACBR | Dec 10, 2019 | Clinical, Radiology | 0 |

Calcification of the stylohyoid ligaments or thyroid cartilage may be frequently mistaken for calcific plaquing of the vertebral artery. In actuality, calcification of the vertebral arteries is extremely rare. The calcification of the stylohyoid ligaments and thyroid cartilage is commonly encountered and should not be mistaken for arterial calcification.

Kienbock’s Disease as a Cause of Wrist Pain in Young Adults

Posted by Douglas Gregerson, DC, DACBR | Oct 2, 2019 | Clinical, Orthopedic | 0 |

A condition that may plague adults, particularly males in the 20-40 year age range, is avascular necrosis of the lunate. This has been termed Kienbock’s disease in reference to the doctor who first diagnosed the disease in 1910.

The Imaging Appearance and Possible Clinical Consequences of the Os Odontoideum

Posted by Douglas Gregerson, DC, DACBR | Aug 15, 2019 | Clinical | 0 |

The os odontoideum is one of many developmental abnormalities that can occur and yet be completely occult to the examining physician.

Shoulder MRI

Posted by Douglas Gregerson, DC, DACBR | Jun 17, 2019 | Clinical, Radiology | 0 |

I am not really sure why the topic of shoulder MRI tends to be so popular, but I have a few ideas. Perhaps it is because shoulder problems tend to be a bit more difficult to accurately diagnose. Although that statement may seem misleading, the majority of shoulder pain is due to rotator cuff problems, but the difficulty often lies in trying to distinguish rotator cuff tendinosis from cuff tear.

Hydroxyapatite Deposition in the Spine

Posted by Douglas Gregerson, DC, DACBR | May 8, 2019 | Clinical, Diagnosis | 0 |

Plain film radiographs often reveal calcifications in or near the spine. Calcifications, while relatively common and innocuous, may at times be symptomatic.

Imaging Diagnosis of Spinal Infections

Posted by Douglas Gregerson, DC, DACBR | Mar 18, 2019 | Diagnosis | 0 |

Spinal infection while not common [approx. 10% of all bone infection] may result in significant morbidity to a patient and in rare cases mortality.

MRI Appearance of Rotator Cuff Tears

Posted by Douglas Gregerson, DC, DACBR | Jan 8, 2019 | Clinical, Radiology | 0 |

The assessment of the rotator cuff tendon is one of the most common reasons for MR imaging of the shoulder. Most frequently, the study is ordered to rule out a tear. If a tear is present, it is important to define the type of tear and quantify any defects. This information may be useful in determining if conservative care is warranted, or surgery is indicated.