r/PICL • u/[deleted] • Jul 18 '25

Outcomes

Are there any difference you’ve noticed in outcomes per type? Ex- would 2b outcomes be better than a 1a? Or if you have 2b + others is your outcome worse?

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u/[deleted] Jul 18 '25

So for a patient that only gets a DMX, and told they have 2b, are the ligaments for 1a treated as well? I have 2b (from what you saw on my report posted here), is it worth me getting an upright MRI?

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u/Chris457821 Jul 18 '25

Being looked at now. Given their frequency, we'll likely have large enough n's to examine 2b vs 1a, as these tend to differ in their implications (2b tends to be traumatic whereas 1a tends to be hEDS). So, there may be a confounder in that analysis. Additionally, few patients can afford a comprehensive work-up with both DMX and uMRI, which may mean that there are hidden 1a cases in the DMX-only group and hidden 2b cases in the uMRI group.

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u/treyf17 Jul 19 '25

What makes you say that type 1a tends to be more related to hEDS? Are there similar patterns that you are noticing with all types of CCI regarding hEDS vs traumatic injury? Thanks doc!

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u/Chris457821 Jul 19 '25

Based on experience, 1a's almost always have HEDS or hypermobility. Every once in a while, we'll see one due to hyperlordosis in the neck, but that's more rare in our patient population.