Atlantoaxial rotatory instability secondary to odontoid hypoplasia as a cause of acute torticollis in children: report of one case.

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

One patient with the chief complaint of acute torticollis was diagnosed as atlantoaxial rotatory instability secondary to hypoplasia of odontoid process. The diagnosis was confirmed by cervical radiography and computerized tomography. The attack of wryneck was first misdiagnosed as cervical muscle strain. Detailed physical examination revealed the tenderness to be located not at the sternocleidomastoid muscle. The fixed and painful rotatory deformity strongly indicated a cervical spinal lesion. Plain radiographic tests of the cervical spine revealed atlantoaxial rotational subluxation. Hypoplasia of the odontoid process, rarely reported as associated with this problem, was noted. Computerized tomographic tests further delineated the pathological alterations. Treatment with gentle reduction and traction for three days, and maintenance with neck collar for the three subsequent weeks, achieved a successful solution. No recurrence was noted after a two-year observation period.

Original languageEnglish
Pages (from-to)448-451
Number of pages4
JournalZhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui
Volume36
Issue number6
Publication statusPublished - 1995 Jan 1

Fingerprint

Odontoid Process
Torticollis
Muscles
Traction
Diagnostic Errors
Radiography
Physical Examination
Spine
Neck
Tomography
Maintenance
Observation
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{09cdba2273244d00a6d09987fa3be3db,
title = "Atlantoaxial rotatory instability secondary to odontoid hypoplasia as a cause of acute torticollis in children: report of one case.",
abstract = "One patient with the chief complaint of acute torticollis was diagnosed as atlantoaxial rotatory instability secondary to hypoplasia of odontoid process. The diagnosis was confirmed by cervical radiography and computerized tomography. The attack of wryneck was first misdiagnosed as cervical muscle strain. Detailed physical examination revealed the tenderness to be located not at the sternocleidomastoid muscle. The fixed and painful rotatory deformity strongly indicated a cervical spinal lesion. Plain radiographic tests of the cervical spine revealed atlantoaxial rotational subluxation. Hypoplasia of the odontoid process, rarely reported as associated with this problem, was noted. Computerized tomographic tests further delineated the pathological alterations. Treatment with gentle reduction and traction for three days, and maintenance with neck collar for the three subsequent weeks, achieved a successful solution. No recurrence was noted after a two-year observation period.",
author = "Chii-Jeng Lin and Lin, {R. M.} and Meng-Hsing Wu",
year = "1995",
month = "1",
day = "1",
language = "English",
volume = "36",
pages = "448--451",
journal = "Pediatrics and Neonatology",
issn = "1875-9572",
publisher = "Elsevier (Singapore) Pte Ltd",
number = "6",

}

TY - JOUR

T1 - Atlantoaxial rotatory instability secondary to odontoid hypoplasia as a cause of acute torticollis in children

T2 - report of one case.

AU - Lin, Chii-Jeng

AU - Lin, R. M.

AU - Wu, Meng-Hsing

PY - 1995/1/1

Y1 - 1995/1/1

N2 - One patient with the chief complaint of acute torticollis was diagnosed as atlantoaxial rotatory instability secondary to hypoplasia of odontoid process. The diagnosis was confirmed by cervical radiography and computerized tomography. The attack of wryneck was first misdiagnosed as cervical muscle strain. Detailed physical examination revealed the tenderness to be located not at the sternocleidomastoid muscle. The fixed and painful rotatory deformity strongly indicated a cervical spinal lesion. Plain radiographic tests of the cervical spine revealed atlantoaxial rotational subluxation. Hypoplasia of the odontoid process, rarely reported as associated with this problem, was noted. Computerized tomographic tests further delineated the pathological alterations. Treatment with gentle reduction and traction for three days, and maintenance with neck collar for the three subsequent weeks, achieved a successful solution. No recurrence was noted after a two-year observation period.

AB - One patient with the chief complaint of acute torticollis was diagnosed as atlantoaxial rotatory instability secondary to hypoplasia of odontoid process. The diagnosis was confirmed by cervical radiography and computerized tomography. The attack of wryneck was first misdiagnosed as cervical muscle strain. Detailed physical examination revealed the tenderness to be located not at the sternocleidomastoid muscle. The fixed and painful rotatory deformity strongly indicated a cervical spinal lesion. Plain radiographic tests of the cervical spine revealed atlantoaxial rotational subluxation. Hypoplasia of the odontoid process, rarely reported as associated with this problem, was noted. Computerized tomographic tests further delineated the pathological alterations. Treatment with gentle reduction and traction for three days, and maintenance with neck collar for the three subsequent weeks, achieved a successful solution. No recurrence was noted after a two-year observation period.

UR - http://www.scopus.com/inward/record.url?scp=0029398582&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029398582&partnerID=8YFLogxK

M3 - Article

C2 - 8592935

AN - SCOPUS:0029398582

VL - 36

SP - 448

EP - 451

JO - Pediatrics and Neonatology

JF - Pediatrics and Neonatology

SN - 1875-9572

IS - 6

ER -