Congenital Partial Aplasia of the Atlas Causing Functional Angular Displacement of the Posterior Arch
Lance Mabry PT, DPT, OCS, FAAOMPT
Physical Therapist, Educator, Researcher
https://doi.org/10.1016/j.pmrj.2018.05.026
What motions/techniques should you avoid in cases of upper cervical aplasia? We detail this and more in our case report published in PM&R.
A 50 year-old female military nurse presented with chronic upper quarter pain. A detailed examination led to the physical therapist ordering diagnostic imaging which revealed upper cervical aplasia. Targeted mobilizations and exercises contributed to significant symptomatic gains. This type of cervical aplasia is very rare and presents in < 0.1% of the population. Previous reports have detailed symptoms as severe as intermittent quadriparesis. Physical therapists and chiropractors must understand the atypical biomechanics of this anomaly when treating this patient population. See the link above for the full article.
Mabry LM, Ross MD, Dardenelle SI. Congenital Partial Aplasia of the Atlas Causing Functional Angular Displacement of the Posterior Arch. PM R. 2018 ;10:1434-1436. doi: 10.1016/j.pmrj.2018.05.026.
#mobilization #mobilisation #manipulation #physiotherapy #physicaltherapy #chiropractic #neckpain #diagnosticimaging #imaging #radiology #radiography #CTscan #xray #cervicalspine
PT, OCS, FAAOMPT
5 年Lance, with this type of anomaly could we see facial or throat paresthesia or other upper cervical instability sxs? I know a person who has this finding on MRI and is just now getting transient UE, LE and throat/jaw paresthesia at age 70.No gait disturbances or other red flags. Imaging ruled out CVA, MS or other neurologic issues and cardiac was ruled out as well...any thoughts? You think a neuro-spine consult is worthwhile?
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5 年does it depend on genetical factor?
Full Professor at Thomas Jefferson University
5 年Looks fascinating, Lance! Thanks for sharing.