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孩子翻跟头后出现异常颈部姿势。

A child with a abnormal neck posture after doing a head-over-heels.

机构信息

Department of Orthopedics, Maxima Medical Centre, The Netherlands.

出版信息

Eur J Pediatr. 2010 Oct;169(10):1279-81. doi: 10.1007/s00431-010-1191-x. Epub 2010 Apr 20.

DOI:10.1007/s00431-010-1191-x
PMID:20405141
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.

摘要

儿童斜颈是一种常见的问题。非创伤性斜颈通常可以进行非紧急的检查，而创伤性斜颈——即使没有神经异常——也需要迅速分析脊柱和脊髓是否有结构损伤。即使像头足倒置这样轻微的创伤也可能导致寰枢关节半脱位，正如本病例报告中所描述的这位患者所表现的那样。所有创伤后斜颈的患儿都需要进一步的检查。对于没有神经或放射学异常的寰枢关节半脱位，可以用软领和止痛药进行保守治疗。

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1
A child with a abnormal neck posture after doing a head-over-heels.孩子翻跟头后出现异常颈部姿势。
Eur J Pediatr. 2010 Oct;169(10):1279-81. doi: 10.1007/s00431-010-1191-x. Epub 2010 Apr 20.
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[Differential diagnosis of childhood torticollis: fixated atlanto-axial rotational dislocation].
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本文引用的文献

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Clinical practice: the spine from birth to adolescence.临床实践：从出生到青春期的脊柱。
Eur J Pediatr. 2009 Dec;168(12):1415-20. doi: 10.1007/s00431-009-0998-9. Epub 2009 May 28.
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Spinal cord injury.脊髓损伤
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Atlantoaxial rotary subluxation in children.儿童寰枢椎旋转半脱位
Pediatr Emerg Care. 1999 Feb;15(1):25-9. doi: 10.1097/00006565-199902000-00008.
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Atlantoaxial instability in individuals with Down syndrome: epidemiologic, radiographic, and clinical studies.唐氏综合征患者的寰枢椎不稳：流行病学、影像学及临床研究
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