Abstract
The atlantoaxial joints of a patient with lateral subluxation of the atlas were studied post mortem by dissection. There was severe erosion of the left lateral atlantoaxial joint and an asymmetrical erosion of the cartilages of the median atlantoaxial joint which prevented reduction of the lateral subluxation. The atlantoaxial ligaments were remarkably intact. It is emphasised that osseous factors rather than ligaments confer lateral stability to the atlantoaxial joints and that destruction of these leads to lateral subluxation.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ADLER D. C., JACOBSON G. Examination of the atlanto-axial joint following injury with particular emphasis on rotational subluxation. Am J Roentgenol Radium Ther Nucl Med. 1956 Dec;76(6):1081–1094. [PubMed] [Google Scholar]
- Bunton R. W., Grennan D. M., Palmer D. G. Lateral subluxation of the atlas in rheumatoid arthritis. Br J Radiol. 1978 Dec;51(612):963–967. doi: 10.1259/0007-1285-51-612-963. [DOI] [PubMed] [Google Scholar]
- Burry H. C., Tweed J. M., Robinson R. G., Howes R. Lateral subluxation of the atlanto-axial joint in rheumatoid arthritis. Ann Rheum Dis. 1978 Dec;37(6):525–528. doi: 10.1136/ard.37.6.525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Corrigan A. B. Radiological changes in rheumatoid cervical spines. Australas Radiol. 1969 Nov;13(4):370–375. doi: 10.1111/j.1440-1673.1969.tb02551.x. [DOI] [PubMed] [Google Scholar]
- HOHL M., BAKER H. R. THE ATLANTO-AXIAL JOINT. ROENTGENOGRAPHIC AND ANATOMICAL STUDY OF NORMAL AND ABNORMAL MOTION. J Bone Joint Surg Am. 1964 Dec;46:1739–1752. [PubMed] [Google Scholar]
- JACOBSON G., ADLER D. C. An evaluation of lateral atlanto-axial displacement in injuries of the cervical spine. Radiology. 1953 Sep;61(3):355–362. doi: 10.1148/61.3.355. [DOI] [PubMed] [Google Scholar]
- Wortzman G., Dewar F. P. Rotary fixation of the atlantoaxial joint: Rotational atlantoaxial subluxation. Radiology. 1968 Mar;90(3):479–487. doi: 10.1148/90.3.479. [DOI] [PubMed] [Google Scholar]