The Wrestler With the “Normal X-ray”

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Siddharth, 18, was a state-level wrestler. He came in after a neck injury during a match. X-rays were normal, and he was sent home. Two days later, he returned with tingling and weakness in his arms.

I ordered an MRI. It revealed a central cord syndrome from hyperextension injury. He underwent urgent decompression and rehab.

He later asked, “Could I have been paralyzed if I had waited longer?”

Yes.


The Lesson Learned

A normal X-ray doesn’t rule out spinal cord injury. Always correlate with neurology and use MRI when in doubt—delay costs function.

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