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Pediatr Emerg Care. 2008 Dec;24(12):852-6. doi: 10.1097/PEC.0b013e31818ea0d3.

Atlantoaxial rotary subluxation after minor trauma.

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  • 1Cincinnati Children's Hospital Medical Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.


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.

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