A twenty-year-old male visited our clinic with wrist and long finger metacarpophalangeal (MP) joint pain. Dynamic ultrasonography revealed sagittal band (SB) ulnar subluxation and extensor carpi ulnaris (ECU) volar subluxation. Magnetic resonance imaging showed longitudinal splitting and dislocation of the volar half slip of the ECU tendon. The redundant radial SB was augmented and ECU sheath w...

INTRODUCTION Atlantoaxial rotatory subluxation is rarely caused by trauma in adults. Usually, the treatment of choice is traction using Halo/Gardner-Wells fixation devices for up to six weeks. CASE PRESENTATION We present the case of a 19-year-old Caucasian woman with traumatic atlantoaxial subluxation. Early reduction three hours after trauma and immobilization using only a soft collar were ...

The elusive vertebral subluxation is the central defining clinical principle of the chiropractic profession. After almost 115 years of discussion there is still little consensus regarding the nature of the vertebral subluxation or its potential associated neurological manifestations. Some authors even deny that the subluxation exists. In this paper a model is presented that assumes that the put...

OBJECTIVES To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning. CASE REPORT We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with...

Abstract Purpose To determine the variation in global treatment practices for subaxial unilateral cervical spine facet fractures based on surgeon experience, practice setting, and surgical subspecialty. Methods A survey was sent to 272 members of AO Spine Subaxial Injury Classification System Validation Group worldwide. Questions surveyed preferences with regard diagnostic work-up fracture type...

BACKGROUND A simple, safe and effective therapeutic strategy for traumatic instability of the subaxial cervical spine, as well as its prognostic assessment, is still controversial. METHODS The therapeutic options for 83 patients of traumatic instability of the subaxial cervical spine, whose average age was 35 years, were determined, according to the Allen-Ferguson classification, general heal...

A 7 year-old girl patient was referred from pediatric emergency department (ED) to our emergency department due to cervical pain and neck stiffness. On her physical examination, torticollis was found in the neck. There was no history of trauma. Physical examination showed no focal neurological deficits. On further anamnestic evaluation the patient's parents revealed that she had presented to pa...

An Asymmetrical Tonic Neck Reflex Rating Scale was applied to data from 40 normal 3- and 5-year-old children. Raw scores representing degrees of elbow flexion in response to passive head rotation were converted using a four-point scale, and the results of eight trials in quadrupedal posture were summed. These results reinforce those of previous studies: the mean inhibition scores increased with...

Thirty patients with atlanto-axial subluxation were operated on using the Mitsui Memorial Hospital System. The follow-up averaged one and a half years, and the results were satisfactory in comparison with other operative methods, all patients regaining almost normal function. Stability and safety are the main advantages of this procedure, with almost complete correction of subluxation in most p...