scholarly journals A Case Report of Complete Dislocation of Atlantoaxial Joint due to a Traumatic and Pathological Axial Lesion

10.14444/7157 ◽  
2021 ◽  
Vol 14 (s4) ◽  
pp. S5-S9
Author(s):  
Xinwei Yuan ◽  
Lun Wan ◽  
Jiang Hu ◽  
Wei Zhang
Keyword(s):  
Case Report ◽  
Atlantoaxial Joint ◽  
Complete Dislocation

Complete dislocation of the trapezium: a case report

Injury ◽  
1985 ◽  
Vol 16 (5) ◽  
pp. 303-304 ◽  
Author(s):  
A.F.M. Brewood
Keyword(s):  
Case Report ◽  
Complete Dislocation

A Complete Dislocation of the Thumb Metacarpal: A Case Report

1990 ◽  
Vol 25 (5) ◽  
pp. 1563
Author(s):  
Hyoun Oh Cho ◽  
Kyung Duk Kwak ◽  
Sung Do Cho ◽  
Snag Jeong Lee
Keyword(s):  
Case Report ◽  
Complete Dislocation

scholarly journals Retropharyngeal abscess causing grisel’s syndrome secondary to tuberculosis of cervical spine, a rare form of torticollis: case report

2021 ◽  
Vol 7 (5) ◽  
pp. 871
Author(s):  
Reegina Sivarajan ◽  
Mohammad Fuaz Mahfuz ◽  
Siti Hajar Sanudin
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Neurological Complications ◽  
Retropharyngeal Abscess ◽  
Atlantoaxial Joint ◽  
Neck Movement ◽  
Neck Stiffness ◽  
Rare Type ◽  
Neck Infection ◽  
Grisel’S Syndrome

<p>Grisel’s syndrome is a rare type of non-traumatic subluxation of an atlantoaxial joint characterized by torticollis, neck pain, and reduced neck movement. The common causes of Grisel’s syndrome are head and neck infection or post-otorhinolaryngology (ORL) procedures. We are reporting a case of a 3-year-old boy with a gradual worsening of neck stiffness, neck pain, and restricted neck movement for more than one month. The patient had no history of trauma. The computerized tomographic (CT) showed a retropharyngeal abscess with a bony erosion causing atlantoaxial subluxation. The management and progress of this patient are discussed. The objective of this case report is to emphasize that Grisel’s syndrome should be considered a differential in a painful torticollis to prompt an early diagnosis and treatment to prevent serious neurological complications.</p>

scholarly journals Atlanto-axial subluxation with cervical myelopathy operated with occipital C2 fusion: A case report

2017 ◽  
Vol 1 (1) ◽  
pp. 4-7
Author(s):  
Rahul Kadam ◽  
Vishal Bauva ◽  
Krutarth Shah ◽  
Sunil Yadav
Keyword(s):  
Case Report ◽  
Cervical Myelopathy ◽  
Muscle Tone ◽  
Rare Condition ◽  
Posterior Arch ◽  
Atlantoaxial Joint ◽  
Posterior Aspect ◽  
Posterior Displacement ◽  
Grisel Syndrome ◽  
Magnetic Resonance Imaging Mri

Background: Atlantoaxial subluxation with cervical myelopathy is a rare condition that can occur mainly by trauma followed by Rheumatoid arthritis, Grisel syndrome, Down’s syndrome and various other metabolic disorders. It is characterized by excessive movement of atlas (C1) over axis (C2) either by bony or ligamentous abnormality. Due to its laxity the spinal cord may get damaged and cause neurologic symptoms. Reduction and fixation is needed for such instability. Case Report: This 55-year-old gentleman was apparently all right 4 years back when he gradually developed difficulty in walking and imbalance. Bilateral Babinski sign was positive, All deep tendon reflexes were brisk; muscle tone was increased with clasp-knife spasticity present in all four limbs. Ankle and patellar clonus was present bilaterally. His X-ray cervical spine showed C1-C2 subluxation in flexion and extension views. Magnetic resonance imaging (MRI) of Cranio-vertebral junction.  Mild subluxation of atlantoaxial joint (3.1 mm) with posterior displacement of dens causing narrowing of bony cervical spinal canal with reduced distance between posterior aspect of dens of C2 and anterior aspect of posterior arch of C1 vertebrae was noticed. Atlas was also slightly displaced anteriorly in relation to baso-occiput. We managed this patient with occipital cervical fusion after reduction from a posterior approach using screws and rods construct and fusion with bone graft from iliac crest. Post operatively the patient was able to walk without any support and tone of the muscles in lower limb decreased, no tingling or numbness are present, no signs of local infection or inflammation. Conclusion: We suggest to operate atlanto-axial subluxation and cervical myelopathy with occipital C2 fusion.

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