Atlantoaxial rotary subluxation after minor trauma.
We present a case of atlantoaxial rotary subluxation after a minor injury managed by manual reduction under sedation. Atlantoaxial rotary subluxation should be considered in a child with inability or unwillingness to turn their head when history and physical examination do not suggest torticollis of benign etiology. In our discussion, we review etiology, diagnosis, as well as pre- and in-hospital management.
Sobolewski
Brad A
BA
Cincinnati Children's Hospital Medical Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. brad.sobolewski@cchmc.org
Mittiga
Matthew R
MR
Reed
Jennifer L
JL
D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D001915:Braces; D002675:Child, Preschool; D016292:Procedural Sedation; D006801:Humans; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D019838:Neck Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D019547:Neck Pain / Q000209:etiology; D010988:Play and Playthings / Q000293:injuries; D012399:Rotation; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000209:etiology; D014143:Traction