Torticollis - not to miss following points

Torticollis

Look
Anterior  - head position - centre or deviated to one side with rotation

                   decrease head and shoulder distance on one side 

                  facial aymmetry present or not ? 

                  eyes - nystagmus ?

        

                  taut sternocleidomastoid muscle

             

                   chest - muscles wasting present or not ? 


Side -          ear close or touching the shoulder

                   lordosis

        

                    comment on deltoid contour and elbow extended 

Back -
                    b/l shoulder symmetrical 

                    normal hairline 

                    scapula at same level 

                    occiput flat or nomal ? 

Gait / Squatting - Normal or not ? 

Feel - comment of taut sternocleidomastoid muscles, 

           palpate on sternum, clavicle , AC joint, Scapula and Proximal humerus 

           palpate on C-spine 

Movement 

         of Neck 

              Shoulder 

                

Neurology tests 

            Myotome 

            Dermatome 

            Reflexes 

cross adduction thigh

                                spine -humeral
                                reflex - radial
                                clonus

            Romber's Test - to quickly excluder any cord abnormality. 

  Vascular Examination of UE- Pulsation of Brachial , Radial and Ulnar Artery 

  

walking - normal squatting normal , romberg test negative

feel no tenderness

Sensory examination - normal UE




torticollis , hip disorder and club foot are considered a package disorder thatswhy when you find one try to exclude the presence of other during examination (that's the rational for checking squatting ).

C-spine affects all 4 extremities so also check reflexes on lower extremity. Gait and squatting  gives quick screening of motor power on lower extremity. Reflexes are tested separately.

Upper extremity requires a thorough test for sensory motor and reflexes in depth.