Sobolewski Brad A, Mittiga Matthew R, Reed Jennifer L
Cincinnati Children's Hospital Medical Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Pediatr Emerg Care. 2008 Dec;24(12):852-6. doi: 10.1097/PEC.0b013e31818ea0d3.
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.
我们报告一例在镇静下手法复位治疗的轻伤后寰枢椎旋转半脱位病例。当病史和体格检查未提示良性病因的斜颈时，对于不能或不愿转头的儿童应考虑寰枢椎旋转半脱位。在我们的讨论中，我们回顾了病因、诊断以及院前和院内管理。
