Journal of the Canadian Chiropractic Association

September 1989 Volume 33 No. 3

    Nerve-root Schwannomas mimicking intervertebral disc hernitations: a report of two cases

    Abstract

    Two cases of spinal nerve-root Schwannomas, initially diagnosed as intervertebral disc herniations, are presented. Both were surgically excised after being located using myelography and CT scans. A review of the literature, with emphasis on the differntial diagnosis of Schwannoma from herniated intervertebral disc, is included. . (JCCA 1989; 33(3):135-141)
    Key Words: Schwannoma, back pain, diagnosis, spinal nerve root pathology, intervertebral disc herniation, chiropractic, manipulation

    Deux cas de neurinomes de la racines des nerfs rachidiens, initialement diagnostiqués comme hernie du disque intervertébral, sont présentés. Les deux neurinomes ont été chirurgicalement excises après avoir été repérés à l’aide de la myélographie et des scintillogrammes CT. Un examen de la documentation qui souligne le diagnostic différentiel du neurinome de l’hernie du disque intervertébral est inclus. (JACC 1989; 33(3): 135-141)
    Mots-clés: neurinome, douleur dorsale, diagnostic différentiel, chiropraxie, manipulation

    • J Cassidy, DC, MSc(Orth), FCCS
    • WH Kirkaldy-Willis, MA, MD, FRCS(E and C)
    • Haymo Thiel, DC

    Slipped capital femoral epiphysis: a report of two cases

    Abstract

    Two cases of slipped capital femoral epiphysis are presented. Both were eventually treated by pinning in situ, after going undiagnosed for some time. The clinical presentation, radiographic findings, and proposed pathogenesis of this disorder are reviewed.. (JCCA 1989; 33(3):130-134)
    Key Words: hip joint, hip pathology, slipped capital femoral epiphysis, chiropractic, manipulation

    Deux cas d’épiphysiolyse sont présentés. Les deux après être restés non diagnostiques pendant un certain temps, ont été éventuellement traités par l’insertion d’une broche in situ. La présentation clinique, les constatations radiographiques et la pathogénie de l’affection sont examinées. (JACC 1989; 33(3): 130-134)
    Mots-clés: hanche, diagnostic différentiel, chiropraxie, manipulation

    • J Cassidy, DC, MSc(Orth), FCCS
    • Dale Mierau, BSPE, DC, DCCS(C)
    • Sandra O'Connor, DC, DACBR, FCCR(C)
    • Jeffrey Quon, DC, FCCS(C), PhD

    Anatomical and functional perspectives of the cervical spine: Part 1: the “normal” cervical spine

    Abstract

    This is the first of a three part series describing the clinical issues surrounding the radiographic assessment of the cervical spine. Defined in this literature review is the working definition of cervical stability. Described are the “normal” anatomical relationships between the cervical vertebrae for both the adult and the child, as portrayed by lateral radiographs. Also presented is a review of available documentation regarding the normal segmental function of the vertebrae in the upper and in the lower cervical spine. The next two parts in this series will deal with the definitions and radiographic evaluation of cervical hypermobility and instability respectively. . (JCCA 1989; 33(3):123-129)
    Key Words: cervical spine, stability, normal segmental function, chiropractic, manipulation

    Voici la première série de trois parties décrivant les questions cliniques entourant l’évaluation radiographique de la colonne cervicale. On trouvera dans cette documentation la définition de travail de la stabilité cervicale. Les rapports anatomiques normaux entre les vertèbres cervicales de l’adulte et de l’enfant, indiques par la radiographie latérale, sont décrits. Un examen de la documentation disponible concernant la fonction segmentaire normale des vertèbres dans la colonne cervicale supérieure et inférieure est également présenté. Les deux parties suivantes de cette série traitent des définitions et de l’évaluation radiographique de l’hypermobilité et de l’instabilité cervicales. (JACC 1989; 33(3): 123-129)
    Mots-clés: colonne cervicale, stabilité, fonction segmentaire normale, chiropractie, manipulation

    • Marion McGregor, DC, FCCS(C), MSc
    • Silvano Mior, DC, FCCS(C)

    Editorial: Continuing education for chiropractors in Canada

    Abstract

    A. Earl Homewood, one of Canada`s foremost chiropractic educators, has influenced chiropractic literacy for the past 43 years, primarily throughout North America, by his forceful presence and his expressive writing. This article traces Dr. Homewood`s background and early training in order to give the reader some insight into the circumstances that shaped his character and destiny. Then it provides a chronological outline of his professional career to date, followed by a description of his major accomplishments as an administrator, teacher and author and a summary of the truly challenging legacy this unique humanitarian has left the chiropractic profession. (JCCA 1989; 33(3):121-122)

    • Dr. Stefan Pallister, DC, Dip HA