ArticleClinical medicine insights. Arthritis and musculoskeletal disorders2020
Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy.
Article in Clinical medicine insights. Arthritis and musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Article
- Article
- C1-C2 subluxation in enthesitis-related arthritis: two case reports and literature review of ten cases.Pediatric rheumatology online journal · 2023Review
- Meeting Future Demand for Chiropractic Services in Hong Kong: A Strategic Manpower Planning Approach.Cureus · 2023Review
- Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report.Adolescent health, medicine and therapeutics · 2021Article
- Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2020Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Atlantoaxial rotatory subluxation (AARS) is the loss of normal alignment and stability of the first (atlas) and second (axis) cervical vertebrae with respect to each other. We describe the clinical challenges of managing a 10-year-old boy who presented with repetitive episodes of torticollis. Open-mouth odontoid radiograph and computed tomographic (CT) scan gave a diagnosis in ARRS, based on its characteristic imaging findings. The child was admitted multiple times for continuous halter traction in the first 6 months after symptom onset. He also experienced a temporary complication from an overcorrection with correcting neck bracing. Seven months after symptom onset, this case was discussed by a multidisciplinary spine team and referred to chiropractic clinic. Despite persistent radiographic evidence of atlantoaxial instability, after 5 months of chiropractic treatment, the child was asymptomatic with nearly full range of neck movement. He also weaned off acetaminophen he had been taking over the past year. Incidentally, bilateral gynecomastia was discovered at the surveillance after treatment. The incidental finding of innocent gynecomastia, even if common in preteen boys, brings up the topic of acetaminophen's effects on the regulation of sex hormones that was previously overlooked.
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