Relationship between atlanto-odontoid osteoarthritis and idiopathic suboccipital neck pain

Zapletal, J.; Hekster, R. E. M.; Straver, J. S.; Wilmink, J. T.; Hermans, J.

doi:10.1007/bf00593224

Cited by 21 publications

(2 citation statements)

References 13 publications

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“…Little is known, however, about OA of the median atlanto-odontoid joint in living individuals. In agreement with Silberberg (1977), Skaane and Klott (1981), Zapletal et al (1996Zapletal et al ( , 1997, Prescher et al (1996), and Prescher (1998), we have found that significant widening and enlargement of the median articular planes of the anterior arch of the atlas and the dens axis lead to an extensive osseous overgrowth of the articular planes and the development of osteophytes of variable size and form. Prescher et al (1996), Prescher (1998), and Prescher and Brors (1998) designated large superior osteophytes of the atlas and on the tip of the dens axis coulisses, crowns, and peridental aureoles, in view of their shape.…”

Section: Osteoarthritis (Oa)supporting

confidence: 91%

Accessory joints between basiocciput and atlas/axis in the median plane

et al. 2005

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To explore the many osseous irregularities that are found in the area between the basiocciput, the anterior arch of the atlas and the tip of the dens axis we studied 99 cadaver specimens using magnetic resonance tomography (MRT), computed tomography (CT), median saw-cut sections, and histological sections. Additionally, "dry" specimens of the skull (n = 110), atlas (n = 56), and axis (n = 33) were investigated. In the median plane, the dry and cadaver specimens exhibited osteoarthritis-related osseous outgrowths and osteophytes of the articular surfaces of the median atlanto-axial joint (n = 63), and the presence of congenitally developed free ossicles (n = 22) and of third occipital condyles (n = 3). The largest osteophytes (giant osteophytes) (n = 4) of the anterior arch of the atlas formed osseous contact zones with the basiocciput that were visible histologically as real joints and were designated accessory median atlanto-occipital joints. The third occipital condyles also formed osseous contact zones, visible histologically as real joints, with the anterior arch of the atlas or with the tip of the dens, and were designated accessory atlanto-occipital or occipito-odontoid joints. Frequent free ossicles, incorporated into the accessory joint, were found by histological examination to be covered with hyaline cartilage.

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Section: Osteoarthritis (Oa)supporting

confidence: 91%

Accessory joints between basiocciput and atlas/axis in the median plane

et al. 2005

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“…If the usual pain is reproduced during the injection, it is a good sign that the procedure will be successful. 11,12 After skin asepsis, a sterile, autoadhesive, windowed draping is placed to cover the head and neck of the patient. A 20-gauge, 8-cm-long, spinal needle is used.…”

Section: Practical Applicationmentioning

confidence: 99%

Infiltration of the Craniovertebral Region

Chevrot¹,

Drapé²,

Dupont³

et al. 2002

Semin intervent Radiol

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The objective of this article is to explain the technique of C1-C2 arthrography as a suitable treatment for pain due to C1-C2 abnormalities. The technique is consistent with the puncture of the posterior aspect of the C1-C2 joint under fluoroscopic control. Arthrography is performed with 1 mL of contrast media. After that, 1 mL of long-acting steroid is injected. The articular cavity has an anterior recess and a posterior recess. The posterior recess is large and easily punctured. In 5% of cases, the ipsilateral joint is also opacified. This injection is indicated in cases of upper cervical pain because of C1-C2 osteoarthritis, inflammatory arthritis of the upper spine (rheumatoid disease, spondylarthritis), and cervico-occipital neuralgia (Arnold's neuralgia) of the same causes or of unknown local origin. C1-C2 arthrography appears to be an efficient and safe technique for the treatment of upper cervical pain due to C1-C2 abnormalities.Objectives: On completion of this article, the reader will understand the techniques and indications for treatment of pain due to C1-C2 abnormalities. Accreditation: Tufts University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TUSM takes full responsibility for the content, quality, and scientific integrity of this continuing education activity. Credit: Tufts University School of Medicine designates this education activity for a maximum of 1.0 hour credit toward the AMA Physicians Recognition Award in category one. Each physician should claim only those hours that he/she actually spent in the educational activity.

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Pathophysiology of Cervical Pain: Evolution and Treatment

Bartels

2016

Cervical Spine

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Relationship between atlanto-odontoid osteoarthritis and idiopathic suboccipital neck pain

Cited by 21 publications

References 13 publications

Accessory joints between basiocciput and atlas/axis in the median plane

Accessory joints between basiocciput and atlas/axis in the median plane

Infiltration of the Craniovertebral Region

Pathophysiology of Cervical Pain: Evolution and Treatment

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