ChiroACCESS Clinical Review



Acute Juvenile Cervical Torticollis: Prevention

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Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

April 15, 2009

Text Size:     
A common presentation of acute juvenile cervical torticollis (AJCT) in the chiropractor’s office is a young patient experiencing a painful sternocleidomastoid (SCM) spasm of short duration which usually resolves rapidly after initiation of treatment.  Cause of the spasm can be due to an atlantoaxial rotatory fixation (AARF), a potentially serious condition, or  muscular and/or ligamentous etiology (1).   Although AJCT is a condition that commonly presents in the office, information in the chiropractic and medical literature is grossly lacking.   In addition there is a great deal of confusion as to the etiology, risk factors, diagnosis and treatment.  For the purpose of this paper cervical dystonia, a poorly understood neurological condition will be excluded (2).  All prevention and risk factors noted in this monograph have been assigned a “C” strength of recommendation since all are a result of consensus, practice tradition or very limited observational studies.

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References

1. 

Sobolewski BA, Mittiga MR, Reed JL. Atlantoaxial rotary subluxation after minor trauma. Pediatr Emerg Care 2008 Dec;24(12):852-6.



2. 

Crowner BE. Cervical dystonia: disease profile and clinical management. Phys Ther 2007 Nov;87(11):1511-26.



3. 

Crook TB, Eynon CA. Traumatic atlantoaxial rotatory subluxation. Emerg Med J 2005 Sep;22(9):671-2.



4. 

Kawabe N, Hirotani H, Tanaka O. Pathomechanism of atlantoaxial rotatory fixation in children. J Pediatr Orthop 1989 Sep;9(5):569-74.



5. 

Mercer S, Bogduk N. Intra-articular inclusions of the cervical synovial joints. Br J Rheumatol 1993 Aug;32(8):705-10.



6. 

Battiata AP, Pazos G. Grisel's syndrome: the two-hit hypothesis--a case report and literature review. Ear Nose Throat J 2004 Aug;83(8):553-5.



7. 

Herman MJ. Torticollis in infants and children: common and unusual causes. Instr Course Lect 2006;55:647-53.



8. 

Subach BR, McLaughlin MR, Albright AL, Pollack IF. Current management of pediatric atlantoaxial rotatory subluxation. Spine 1998 Oct 15;23(20):2174-9.



9. 

Martinez-Lage JF, Morales T, Fernandez C, V. Inflammatory C2-3 subluxation: a Grisel's syndrome variant. Arch Dis Child 2003 Jul;88(7):628-9.



10. 

Karkos PD, Benton J, Leong SC, Mushi E, Sivaji N, Assimakopoulos DA. Grisel's syndrome in otolaryngology: a systematic review. Int J Pediatr Otorhinolaryngol 2007 Dec;71(12):1823-7.



11. 

Kleinfield S. 4-13-0009. Ref Type: Personal Communication



12. 

Davis C. 4-29-2009. Ref Type: Personal Communication