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作者报道了1例16岁男性,于浅游泳池跳水受伤后述颈部疼痛及活动受限。体检见到显著颈部触痛和斜颈,颈部伸、屈仅限于15°,双侧外旋仅限于30°,但无神经学症状。 摄颈椎平片及寰枢部CT片。开口位见右侧齿状突与侧块间隙增宽;侧位见C_1双侧后弓不重叠(非投照不正)。强烈提示寰枢椎旋转固定,后由CT证实。经抗炎药和肌肉松弛剂治疗5天后症状、体征消失,复查X线片亦示正常。
The authors reported a 16-year-old male with neck pain and limited mobility after diving in a light swimming pool. Physical examination showed significant neck tenderness and torticollis, neck extension, flexion was limited to 15 °, bilateral external rotation is limited to 30 °, but no neurological symptoms. Photograph of cervical plain and atlantoaxial CT film. See the right side of the open dentate and lateral block widening; lateral view C_1 bilateral posterior arch does not overlap (non-projection is not correct). It is strongly suggested atlantoaxial rotation fixation, confirmed by CT. The anti-inflammatory drugs and muscle relaxants after 5 days of treatment symptoms, signs disappeared, review X-ray also showed normal.