Supraspinous ligament injury

Case contributed by Dean Federman
Diagnosis almost certain

Presentation

Lower neck pain, worse with physical activity. Past history of old sporting injuries.

Patient Data

Age: 55 years
Gender: Male
mri

There is subtle elevation of the supraspinous ligament at its T1 spinous process attachment, with associated focal marrow edema within the tip of the T1 spinous process as well as localized subligamentous edema, which is appreciated on the T2 fat saturated sequence.

Case Discussion

Subtle avulsion of the supraspinous ligament at T1.

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