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Chalk Stick Fracture in Ankylosing Spondylitis

Global Radiology CME

2 Ossification of vertebral ligaments present as the dagger sign on X-ray, while ossification of the outer fibers of the annulus fibrosus presents as a bamboo spine. 5 As in this case, nearly 67% of chalk stick fractures from AS present with neurologic deficits. Curr Rheumatol Rep. 2011;13(5):409-415.

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Lens Subluxation

Global Radiology CME

Patients with ectopia lentis typically present with visual acuity problems but can also present with eye pain if secondary to trauma [2]. Radiography has no role in orbital injuries due to its lower sensitivity for soft tissues [4]. Anterior dislocation of the lens is serious as it may lead to angle-closure glaucoma [3,4].

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Lisfranc Fracture Dislocation

Global Radiology CME

With over 20% of Lisfranc fractures missed upon presentation, it is important to diagnose these injuries promptly, as lack of diagnosis could lead to future foot deformities, midfoot arthritis, pain, chronic instability, and disability [1,5]. Is the diagnostic validity of conventional radiography for Lisfranc injury acceptable?