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.






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