A child with a abnormal neck posture after doing a head-over-heels

Eur J Pediatr. 2010 Oct;169(10):1279-81. doi: 10.1007/s00431-010-1191-x. Epub 2010 Apr 20.

Abstract

Torticollis in children is a frequently encountered problem. Whereas non-traumatic torticollis usually allows a non-urgent work-up, traumatic torticollis-even in the absence of neurologic abnormalities-needs prompt analysis for structural damage of the spinal column and myelum. Even a trauma as mild as a head-over-heels may result in atlanto-axial subluxation as demonstrated by this patient as described in this case report. In all children with post-traumatic torticollis, further analysis is needed. Atlanto-axial subluxation without neurological or radiological abnormalities can be treated conservatively with a soft collar and analgesics.

Publication types

  • Case Reports

MeSH terms

  • Atlanto-Axial Joint / injuries*
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Humans
  • Joint Dislocations / diagnosis
  • Joint Dislocations / etiology*
  • Joint Dislocations / therapy
  • Magnetic Resonance Imaging
  • Play and Playthings
  • Tomography, X-Ray Computed
  • Torticollis / diagnosis
  • Torticollis / etiology*
  • Torticollis / therapy
  • Traction