Supraspinous ligament injury
Lower neck pain, worse with physical activity. Past history of old sporting injuries.
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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.
Subtle avulsion of the supraspinous ligament at T1.