March 1990 Volume 34, No.1

March 1990 Volume 34, No.1

Ethical concerns about informed consent encompass the legal functions of protection of patients through self-determination, but also considers other ways of respecting patients through seeking their benefit and their autonomy. The influence of traditional medicine on patient expectations, and use of consent forms often renders consent a difficult issue in the relative safety and non-invasiveness of chiropractic practice The ethical concern with consent, however, focuses attention on patient participation in health care decisions. Chiropractic relationships are often quite conclusive to this sharing of health care decisions after education. Exceptions to informed consent are not typically relevant to chiropractic patients who are conscious, competent and not in need of emergency treatment. It is therefore important that patients are aware of non-chiropractic alternatives and very rare risks of a serious nature. Rather than an impediment, ethical concerns about consent encourage a relationship of education and shared responsibility which encourages chiropractic patients to accept responsibility for their health. (JCCA 1990; 34(1): 24-26)

Biomedical ethics, informed consent, chiropractic, manipulation

March 1990 Volume 34, No.1

A case of C1 posterior arch fracture following a fall is presented. The need to perform a thorough history and examination, regardless of previous examination findings, is emphasized. This is especially true when there is a history of recent trauma. A brief discussion of the characteristics and management of C1 fractures follows. (JCCA 1990; 34(1):27-29)

Fracture, cervical spine, diagnosis, chiropractic, manipulation

On présente un cas de fracture de l’arche postérieure de C1 a la suite d’une chute. On y souligne le besoin de dresser les antécédents médicaux et de faire un examen en profondeur, peu importe ce qu’a révélé un examen antérieur. Cela est surtout vrai lorsqu’il y a des antécédents de traumatisme récent. Vient ensuite un bref expose des caractéristiques et de la gestion des fractures de C1. (JCCA 1990; 34(1): 27-29)

Fracture, colonne cervicale, diagnostic, chiropraxie, manipulation

March 1990 Volume 34, No.1

Three cases of torticollis are recorded, one of a child with congenital muscular torticollis and two of infants with acquired torticollis caused by neurogenic tumours. All were treated by chiropractors before the correct diagnosis was made. The differential diagnosis of torticollis in infants and children is important in clinical practice. (JCCA 1990; 34(1):13-19)

Torticollis, child, infant, differential diagnosis, chiropractic, manipulation

Trois cas de torticolis chez des enfants ont été rapportés. Un enfant souffrait d’un torticolis congénital et les deux autres, de tumeurs neurogènes. Ils ont tous été traités par des chiropraticiens avant l’établissement du bon diagnostic. Le diagnostic différentiel est important chez les enfants, pour l’exercice clinique. (JCCA 1990; 34(1): 13-19)

Torticolis, enfant, diagnostic différentiel, chiropraxie, manipulation

March 1990 Volume 34, No.1

Radiology reports are an essential component of the patient's permanent chiropractic health record. The available literature contains very few full-length articles addressing this important topic. A discussion of the purpose, structure, and composition of a radiology report is provided. A systematic approach to the evaluation of radiographic studies is also discussed. (JCCA 1990; 34(1):30-34)

Reporting, radiology, chiropractic, radiological interpretation, report structure, radiological diagnosis, manipulation

Les rapports radiologiques représentent un élément essentiel du dossier chiropractique permanent du patient. La documentation disponible contient très peu d’articles de fond sur cet important sujet. Un expose sur le but, la structure et la composition d’un rapport radiologique est joint. Une approche systématique de l’évaluation des études radiographiques est également traite. (JCCA 1990; 34(1): 30-34)

Rapport, radiologie, chiropractie, interprétation radiologique, structure du rapport, diagnostic radiologique, manipulation