Age-related changes to the craniocervical ligaments in asymptomatic subjects: a prospective MR study

Peters, Benjamin; Parizel, Paul M.; Goethem, Johan Van

doi:10.1007/s00586-020-06302-0

Cited by 6 publications

(5 citation statements)

References 23 publications

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“…PD hyperintensities within the ligament can also be attributed to age-related changes, especially in the transverse ligament. 17…”

Section: Discussionmentioning

confidence: 99%

“…PD hyperintensities within the ligament can also be attributed to age-related changes, especially in the transverse ligament. 17 Most frequently, whiplash-associated ligamentous lesions are grade 1 or 2 lesions. Grade 3 lesions are rarer.…”

Section: Discussionmentioning

confidence: 99%

“…High-grade anomalous changes and multiligamentous involvement had a positive correlation with age. 17 As such, we suggest using the grading scale shown in ►Table 2 of ligaments of the CCJ, especially in the transverse ligament because this ligament is susceptible to age-related changes. Most whiplash patients, however, are relatively young, and we expect less degenerative changes in this age group, making grades 1 to 3 changes in the CCJ ligaments more likely to be traumatic lesions.…”

Section: Imaging Interpretation and Gradingmentioning

confidence: 99%

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Imaging in Whiplash-Associated Disorders

Schollaert,

Van Goethem

2023

Semin Musculoskelet Radiol

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Abstract“Whiplash,” a term describing the severe acceleration and deceleration forces applied to the head, craniocervical junction (CCJ), and cervical spine during trauma, is one of the most frequent mechanisms of injury to the CCJ. The CCJ is a complex region at the transition of the cranium and the cervical spine, essential for maintaining craniocervical stability. In whiplash injuries, the CCJ may be compromised due to underlying ligamentous or, less frequently, osseous, intravertebral disk and/or muscular lesions. Imaging is crucial in detecting acute lesions but may also play a role in the follow-up of chronic pathology because soft tissue lesions and progressive disk pathology could contribute to a whiplash-associated disorder.

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“…PD hyperintensities within the ligament can also be attributed to age-related changes, especially in the transverse ligament. 17…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Imaging Interpretation and Gradingmentioning

confidence: 99%

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Imaging in Whiplash-Associated Disorders

Schollaert,

Van Goethem

2023

Semin Musculoskelet Radiol

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“…transversum, scheint altersbedingten Veränderungen zu unterliegen, welche ggf. klinische Auswirkungen haben könnten [14].…”

Section: Beweglichkeit Und Belastung Der Hwsunclassified

Biomechanik der HWS und ihre anatomischen Grundlagen

et al. 2023

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ZusammenfassungDieser Artikel beschreibt die Biomechanik der Halswirbelsäule. Das Verständnis von physiologischer Anatomie sowie den funktionellen Zusammenhängen ist Grundlage der Behandlung zervikaler Pathologien. Abweichungen von der physiologischen Biomechanik können zufällig und zunächst ohne Krankheitswert sein, krankheitsbedingt oder iatrogen durch z.B. Operationen hervorgerufen werden. Darüber hinaus ist es von Bedeutung die physiologische Biomechanik auch in der Planung von Operationen zu beachten, ebenso z.B. in der konservativen und manualtherapeutischen Therapie.

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“…Again, their findings indicated that interobserver and intraobserver reliability in the assessment of alar ligament injuries was inconsistent and inadequate. Most recently, Peters, Parizel, and Van Goethem (21) demonstrated that symptomatic individuals have varying degrees of signal intensity and alar ligament thickness as well as proposed a revised grading method for assessing variations in craniocervical ligaments in the general population.…”

Section: Evolution In Mr Assessment Of Alar Ligamentmentioning

confidence: 99%

Magnetic Resonance Imaging Anatomy of Alar Ligament: A Review of Literature

Haroon,

Che Mohamed,

Abd. Aziz

2023

MJMHS

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Alar ligament is one of the most important craniocervical junction (CCJ) ligaments; acting as stabilizer of CCJ and limiting axial rotation. It may be involved in various pathological processes including trauma. Magnetic resonance imaging (MRI) is increasingly being used in cervical spine trauma as a supplement to conventional radiography and computed tomography (CT) to detect a wide range of severe cervical spine injuries. MR depiction of alar ligament requires special sequences despite no known established MR sequence is available. However, the role of MRI in minor or moderate trauma, including whiplash injuries, has long been debated, particularly when neurological dysfunction is absent, because no anatomical disruption other than degenerative disc disease have been reported. In this review, we provide detailed account on the current knowledge of MR visualization of normal alar ligament; outlining the variations in its signal intensity, dimension, shape and orientation.

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Age-related changes to the craniocervical ligaments in asymptomatic subjects: a prospective MR study

Cited by 6 publications

References 23 publications

Imaging in Whiplash-Associated Disorders

Imaging in Whiplash-Associated Disorders

Biomechanik der HWS und ihre anatomischen Grundlagen

Magnetic Resonance Imaging Anatomy of Alar Ligament: A Review of Literature

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