General Description of Pediatric Acute Wryneck Condition

Губин, А.В.

doi:10.5772/37301

Cited by 2 publications

(5 citation statements)

References 30 publications

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“…9 On an open-mouth view, the asymmetry of the interspaces between the C1 lateral masses and the dens is sufficient to make a diagnosis. 5 Alternative techniques for imaging in cases of torticollis, such as CT and magnetic resonance imaging, are sensitive in ruling out traumatic or destructive processes 10 and are recommended when neurological signs and symptoms are present. 9 In general, the appropriate approach to a child presenting with acute torticollis is to first identify potential red flags, which may require emergency intervention.…”

Section: Discussionmentioning

confidence: 99%

“…3,5 Cervical collar and halter traction are routinely used for patients diagnosed with AARS. 10 It is necessary to exclude all contraindications related to upper cervical instability prior to proceeding with manual therapy. Chiropractic approach aims to provide therapy for tight musculature, joint mobilizations for pain relief, and strengthening exercises for stabilization.…”

Section: Discussionmentioning

confidence: 99%

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Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy

Chu

Chakkaravarthy

et al. 2020

Clin Med�Insights�Arthritis�Musculoskelet Disord

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Atlantoaxial rotatory subluxation (AARS) is the loss of normal alignment and stability of the first (atlas) and second (axis) cervical vertebrae with respect to each other. We describe the clinical challenges of managing a 10-year-old boy who presented with repetitive episodes of torticollis. Open-mouth odontoid radiograph and computed tomographic (CT) scan gave a diagnosis in ARRS, based on its characteristic imaging findings. The child was admitted multiple times for continuous halter traction in the first 6 months after symptom onset. He also experienced a temporary complication from an overcorrection with correcting neck bracing. Seven months after symptom onset, this case was discussed by a multidisciplinary spine team and referred to chiropractic clinic. Despite persistent radiographic evidence of atlantoaxial instability, after 5 months of chiropractic treatment, the child was asymptomatic with nearly full range of neck movement. He also weaned off acetaminophen he had been taking over the past year. Incidentally, bilateral gynecomastia was discovered at the surveillance after treatment. The incidental finding of innocent gynecomastia, even if common in preteen boys, brings up the topic of acetaminophen’s effects on the regulation of sex hormones that was previously overlooked.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy

Chu

Chakkaravarthy

et al. 2020

Clin Med�Insights�Arthritis�Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…1,3,28 The absence of direct trauma makes atlantoaxial rotation and orthopedic subluxation less likely. Neither patient had fever, neurologic findings, or delayed milestones, which would indicate more serious underlying pathology.…”

Section: Discussionmentioning

confidence: 99%

“…No special imaging was required, as serious pathology was unlikely. 1,13 There is an evidence-based rationale for conservative myofascial and light adjustive techniques for the management of torticollis in both adults and children. 16,29,30 Myofascial release may be described as applying gentle sustained pressure to the muscle and connective tissues.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 History and physical examination can identify most pathologic etiologies, obviating the need for special imaging. 1,13 Regrettably, after significant pathology has been ruled out, the acquired torticollis of muscular origin is often left unaddressed, consigning the patient to a prolonged painful and limiting disorder, even though it eventually resolves.…”

Section: Introductionmentioning

confidence: 99%

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Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

Young

Young²

2017

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the conservative management of 2 cases of acquired torticollis in children under 3 years of age. Clinical Features: Both patients awoke with painful, stiff, twisted necks the day after play in a bouncy house. Range of motion was limited, and hypertonic muscles were palpated. Their neurologic and physical evaluation was consistent with a diagnosis of acquired torticollis of musculoskeletal origin. Intervention and Outcomes: Both children were treated with chiropractic care that consisted of light myofascial release, use of an Activator instrument, and home stretching. Patients improved in pain and range of motion immediately posttreatment and returned to normal ranges in 1 or 2 visits. Conclusion: Chiropractic care provided relief for these 2 young patients with acquired torticollis. (J Chiropr Med 2017;16:252-256)

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General Description of Pediatric Acute Wryneck Condition

Cited by 2 publications

References 30 publications

Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy

Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy

Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

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