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Updated: Jan 30, 2026

Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
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Cervical Cord Compression by Exostosis.

Michael Grelat, Carlos Gimenez, Rachid Madkouri

    The Journal of Orthopaedic and Sports Physical Therapy
    |February 2, 2019
    PubMed
    Summary

    A cervical bony exostosis at C1-2 caused myelopathy in a tennis player, leading to arm weakness and hand numbness. Prompt diagnosis via MRI was crucial for identifying this rare cause of neurological symptoms.

    Area of Science:

    • Orthopedics
    • Neurology
    • Sports Medicine

    Background:

    • Cervical spine disorders can present with varied neurological symptoms.
    • Bony exostosis is an overgrowth of bone that can impinge on neural structures.

    Observation:

    • A 51-year-old female tennis player experienced progressive left arm weakness, bilateral hand numbness, and neck pain radiating to the left arm.
    • Symptoms began after a tennis tournament and progressed, impacting her ability to play.

    Findings:

    • Physical examination led to referral for magnetic resonance imaging (MRI) of the spine.
    • MRI revealed a bony exostosis at the C1-2 vertebral level causing cervical myelopathy.

    Implications:

    • This case highlights the importance of considering structural spinal abnormalities in athletes with neurological deficits.
    Keywords:
    armcervical spinemagnetic resonance imagingupper extremity

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  • Early diagnosis of cervical myelopathy secondary to bony exostosis is critical for appropriate management and potential recovery.
  • Physical therapists play a key role in identifying patients who require further medical investigation for serious spinal conditions.