Unilateral isolated alar ligament rupture in an adult female patient

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dc.contributor.authorKeskil, Semih
dc.contributor.authorYüksel, Ulaş
dc.contributor.authorBilgili, Yasemin Karadeniz
dc.contributor.authorBabacan, Avni
dc.date.accessioned2025-01-21T16:34:26Z
dc.date.available2025-01-21T16:34:26Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractOnly seven cases of isolated unilateral rupture of the alar ligament had been previously reported. The authors report the first adult female case of this rare injury. The patient in their case, a 36-year-old female presented after a trauma due to falling, and at that moment, she had fainted due to a sudden pain between the neck and head. The radiological examinations [magnetic resonance imaging (MRI) and X-rays] had been interpreted as normal. She had a positive Alar ligament test at the right side, and a thin section craniovertebral junction computed tomography was obtained which revealed an asymmetrically left-sided odontoid process and a new MRI revealed a right-sided alar ligament rupture. Th us she underwent a bilateral greater occipital nerve block together with pulse radiofrequency and trigger point injection at splenius capitis, levator scapula, and trapezius followed by the application of a halo orthosis to be worn for 3 months. The patient was found to be pain-free in the follow-up examinations. With pure unilateral alar ligament rupture, the atlantooccipital joint is not disrupted and the craniovertebral junction is not destabilized. To date, only eight cases of isolated unilateral alar ligament rupture have been reported one of which was a 25 years old male; all of whom presented with marked neck pain and treated by external immobilization for 4 weeks to 4 months and our case is the first adult female patient.
dc.identifier.doi10.14744/agri.2019.73555
dc.identifier.endpage267
dc.identifier.issn1300-0012
dc.identifier.issue4
dc.identifier.pmid34671959
dc.identifier.scopus2-s2.0-85120151641
dc.identifier.scopusqualityQ3
dc.identifier.startpage265
dc.identifier.trdizinid480480
dc.identifier.urihttps://doi.org/10.14744/agri.2019.73555
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay480480
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23968
dc.identifier.volume33
dc.identifier.wosWOS:000708474100009
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAgri-The Journal of The Turkish Society of Algology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectAdult; alar ligament; rupture; unilateral
dc.titleUnilateral isolated alar ligament rupture in an adult female patient
dc.title.alternativeErişkin bir kadın hastada tek taraflı izole alar ligaman rüptürü
dc.typeArticle

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