Atlantoaxial rotary subluxation after minor trauma

Pediatr Emerg Care. 2008 Dec;24(12):852-6. doi: 10.1097/PEC.0b013e31818ea0d3.

Abstract

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Atlanto-Axial Joint / diagnostic imaging
  • Atlanto-Axial Joint / injuries*
  • Braces
  • Child, Preschool
  • Conscious Sedation
  • Humans
  • Imaging, Three-Dimensional
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / etiology*
  • Joint Dislocations / therapy
  • Male
  • Neck Injuries / diagnostic imaging
  • Neck Injuries / etiology*
  • Neck Injuries / therapy
  • Neck Pain / etiology
  • Play and Playthings / injuries
  • Rotation
  • Tomography, X-Ray Computed
  • Torticollis / etiology
  • Traction