Journal article
A Case Report of Isolated Cervical Ligament Rupture With Hyper-Pronation Injury: Specific MRI Protocol and Surgical Reconstruction
The Iowa orthopaedic journal, Vol.44(1), pp.23-29
01/01/2024
PMCID: PMC11195898
PMID: 38919347
Appears in Diamond Open Access
Abstract
Background: The aim of this case report is to present a case of chronic cervical ligament tear and instability, which occurred by an unusual work injury with an eversion/hyper-pronation mechanism in contrast to the usual mechanism of inversion. The ligament was reconstructed using an allograft with satisfactory results up to 30 months after surgery. A new magnetic resonance imaging protocol (MRI) was developed to better evaluate the cervical ligament/graft.
Conclusion: In diagnosis of foot sprains, a specific ligament injury should always be sought. In this case, physical examination producing tenderness at the location of the cervical ligament and correlating this with an oblique intercolumn stress test that reproduced pain with apprehension and gross instability supported the diagnosis. Retrospectively applying anatomic knowledge to the earlier MRI findings of bone marrow edema at the insertion points of the cervical ligament on the talus and calcaneus was important in confirming the diagnosis. To better evaluate the cervical ligament allograft tendon reconstruction, a novel volumetric MRI sequence was developed which may prove helpful to also diagnose cervical ligament injuries in future cases. Anatomic reconstruction of the cervical ligament provided satisfactory clinical and radiographic results at 30-month follow-up.
Details
- Title: Subtitle
- A Case Report of Isolated Cervical Ligament Rupture With Hyper-Pronation Injury: Specific MRI Protocol and Surgical Reconstruction
- Creators
- Aly M. Fayed - University of IowaNacime Salomao Barbachan Mansur - University of Iowa, Orthopedics and RehabilitationNastaran Fatemi - University of IowaJohn E. Femino - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.44(1), pp.23-29
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 38919347
- PMCID
- PMC11195898
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 01/01/2024
- Academic Unit
- Radiology; Orthopedics and Rehabilitation
- Record Identifier
- 9984649156102771
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