Lateral subluxation of atlanto--axial joint.

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Lateral subluxation of the atlanto-axial joint in rheumatoid arthritis.

Involvement of the cervical spine by rheumatoid disease is common, but lateral subluxation at the atlanto-axial level has not been recorded previously. The condition is due to asymmetrical erosion of the lateral atlanto-axial facet joint, and may be complicated by collapse of the lateral mass of the axis. The condition should be suspected in patients with rheumatoid arthritis (RA) who present w...

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Traumatic atlanto-axial subluxation.

Traumatic atlanto-axial subluxation is a rare injury which may not be revealed on routine radiographs, especially when there is muscle spasm. We report on seven patients with atlanto-axial subluxation as a result of neck injury; only two of them had significant head injuries. Three patients presented with a neurological deficit attributable to the injury, one immediate and two with delayed onse...

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Rupture and Atlanto-axial Subluxation in Children

We report four children aged two to nine years with traumatic tears of the transverse ligament of the atlas and atlanto-axial subluxation. This is extremely rare in this age group since trauma usually causes a skeletal rather than a ligamentous injury. The injuries resulted from falls or motor vehicle accidents, with considerable delay in diagnosis. Flexion radiographs showed atlas-dens interva...

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Atlanto-axial subluxation in rheumatoid arthritis.

In 1969 the results of a survey of atlanto-axial subluxation in all seventy-six consecutive rheumatoid patients attending a clinic were published (Mathews, 1969). Abnormal separation of the odontoid process from the anterior arch of the atlas was found in nineteen (25%) patients and was found to be more common in patients with more serious forms of the disease. In addition, an abnormal vertical...

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Morquio Disease as a cause of atlanto-axial subluxation

A 12 years old boy, with no past medical history, presented to the neurology department with a 7 years clinical course of untreated limping, progressive kyphosis, repeated shoulder dislocation, and, recently, progressive limbs weakness. On examination, the patient was short trunked with fixed cervical hyperextension and thoracolumbar kyphosis. Also noted were genu valgum and ligamentous laxity....

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ژورنال

عنوان ژورنال: Annals of the Rheumatic Diseases

سال: 1979

ISSN: 0003-4967

DOI: 10.1136/ard.38.5.499