title: [Atlanto-axial rotational subluxation in children: therapy in delayed diagnosis].
abstract: Children may develop a torticollis due to Rotatory Subluxation not only after minor trauma, infections of the upper respiratory tract, surgical procedures in the oropharynx but also spontaneously. Three cases with a delay in diagnosis are presented; the typical symptoms and other causes of torticollis are discussed. The suggested treatment is mobilisation under general anaesthesia, fixation with a Halo for a few days and consecutive immobilisation in a Minerva cast for 4-8 weeks. This regimen was successful in all three cases.
authors.affiliation: Klinik für Orthopädische Chirurgie Kantonsspital St. Gallen.
authors.forename: P
authors.initials: P
authors.lastname: Engelhardt
authors.forename: D
authors.initials: D
authors.lastname: Fröhlich
authors.forename: F
authors.initials: F
authors.lastname: Magerl
mesh_terms: D001268:Atlanto-Axial Joint / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D013122:Spinal Diseases / Q000175:diagnosis; D014103:Torticollis / Q000209:etiology*