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Treatment of Atlanto-Axial Rotatory Subluxation with Manipulation

以徒手矯正來治療環椎軸椎之旋轉性脫位

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摘要


嬰兒斜頸在復健科門診是很常見的病症,然而因環椎軸椎之旋轉性脫位而引起的兒童急性斜頸卻很少見。在診斷上,常因X光的判讀困難及臨床醫師對此疾病沒有概念而延誤,而此診斷上的延誤常使得治療變的更複雜。在此,我們回顧三個因環椎軸椎之旋轉性脫位而引起兒童急性斜頸的病例,並成功地以徒手矯正來治療。

並列摘要


Infantile torticollis is a common condition in rehabilitation clinics. Acute torticollis due to atlanto-axial rotatory subluxation, however, is an uncommon condition in children. The diagnosis is usually delayed due to difficulty in the evaluation of roentgenograms, as well as to clinicians’ unawareness of this disorder. Delayed unrecognized atlanto-axial subluxation may make the treatment more complicated. Here, we review three cases who had atlanto-axial rotatory subluxation successfully treated with manipulation.

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