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Published 20 August 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.04.2009.1824]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Bipartite atlas mimicking traumatic atlantoaxial instability following a rugby tackle

Christophe Jans1, Geert Mahieu2, Roger Van Riet2

1 University Hospital Antwerp, Orthopaedics, Wilrijkstraat 10, Edegem, 2650, Belgium
2 AZ Monica, Orthopaedics, Florent Pauwelslei 1, Deurne, 2100, Belgium

Correspondence to:
Christophe Jans, christophe.jans{at}gmail.com

SUMMARY

We report a very rare case of a congenital cervical spine anomaly. The low occurrence rate of this anatomic variant combined with the high frequency of cervical injuries in sports medicine made this case a diagnostic challenge on both emergency and orthopaedic departments. After reading, it should give the clinician a more consistent view in differentiating the traumatic or congenital origin of the disorder seen on radiographs, as well as what can be expected in the future when diagnosis is set.


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