Practical Examination of Torticollis
Examination from
Examination starts after consent and order from the examiner.
Expoure requires upto umbilicus .
Front
bent on lt side ,
chin deviated to rt side
decreased head shoulder distance on lt side
oral cavity looks normal /abnormal
no squinting
facial asymmetry - normal ?
lt side sternocleidomastoid - taut
chest - no muscle wasting
Side
Ear almost touching shoulder ,
Deltoid contour normal
elbow fully extended
Back
b/l shoulder symmetrical , hairline
scapula at same level
occiput flat
Thoracic and lumbar curvature maintained with no scoliosis
Gait and Squating - normal
Feel - lt sternocleidomastoid taut , thick
no tenderness on mastoid, sternum , clavice, AC joint , scapula , humerus and C-spine
No palpable lymph nodes, no tenderness on supra / infraspinatus fossa
Movement
Flexion / Extension , Rotation , Lateral Flexion both active and passive
meaure the angle head is bent.
Vascular Examination
Neurologic examination of upper extremities / lowe extremities
dermatome / myotomes
sensation
Reflexes
Discussion on Klepel - Feil Syndrome , Sprengel's deformity , Causes of Torticollis and its treatmenT. It will be added in future posts.
Examination starts after consent and order from the examiner.
Expoure requires upto umbilicus .
Front
bent on lt side ,
chin deviated to rt side
decreased head shoulder distance on lt side
oral cavity looks normal /abnormal
no squinting
facial asymmetry - normal ?
lt side sternocleidomastoid - taut
chest - no muscle wasting
Side
Ear almost touching shoulder ,
Deltoid contour normal
elbow fully extended
Back
b/l shoulder symmetrical , hairline
scapula at same level
occiput flat
Thoracic and lumbar curvature maintained with no scoliosis
Gait and Squating - normal
Feel - lt sternocleidomastoid taut , thick
no tenderness on mastoid, sternum , clavice, AC joint , scapula , humerus and C-spine
No palpable lymph nodes, no tenderness on supra / infraspinatus fossa
Movement
Flexion / Extension , Rotation , Lateral Flexion both active and passive
meaure the angle head is bent.
Vascular Examination
Neurologic examination of upper extremities / lowe extremities
dermatome / myotomes
sensation
Reflexes
Discussion on Klepel - Feil Syndrome , Sprengel's deformity , Causes of Torticollis and its treatmenT. It will be added in future posts.
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