title: A child with a abnormal neck posture after doing a head-over-heels.
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.
authors.affiliation: Department of Orthopedics, Maxima Medical Centre, The Netherlands.
authors.forename: Karen
authors.initials: K
authors.lastname: de Kroon
authors.forename: Willem
authors.initials: W
authors.lastname: den Boer
authors.forename: Feico J
authors.initials: FJ
authors.lastname: Halbertsma
mesh_terms: D001268:Atlanto-Axial Joint / Q000293:injuries*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D010988:Play and Playthings; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014143:Traction
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