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Papers of the Week


2021 Feb 17


JBJS Case Connect


11


1

A Rare Case of Nontraumatic Atlantoaxial Rotatory Fixation in an Adult Patient Treated by a Closed Reduction: A Case Report.

Authors

Isogai N, Matsui I, Sasao Y, Nishiyama M, Funao H, Ishii K
JBJS Case Connect. 2021 Feb 17; 11(1).
PMID: 33599465.

Abstract

A 42-year-old woman presented with a severe neck pain and torticollis due to uncertain etiology. Because her radiographs and computed tomography revealed atlantoaxial rotatory fixation (AARF) that is an extremely rare condition in the adult population, a nonsurgical treatment was initially applied. Because 3 weeks of indirect traction failed, closed reduction was performed under general anesthesia at 2 months after onset, and her symptoms markedly improved without any complications and recurrence.