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Several subtypes of atlanto-occipital dislocation are known. One suggested categorization scheme includes anterior, vertical and posterior of the head relative to the spine. Other variants with lateral or rotatory displacement have been described, as well as mixed types.
To further classify spasmodic torticollis, one can note the position of the head. Torticollis is the horizontal turning (rotational collis) of the head, and uses the ipsilateral splenius, and contralateral sternocleidomastoid muscles. This is the "chin-to-shoulder" version. Laterocollis is the tilting of the head from side to side.
The atlanto-occipital joint may be dislocated, especially from violent accidents such as traffic collisions. [1] This may be diagnosed using CT scans or magnetic resonance imaging of the head and neck. [1] Surgery may be used to fix the joint and any associated bone fractures. [1] Neck movement may be reduced long after this injury. [1]
Here’s how to fix “tech neck” and prevent it in the future, according to chiropractors. ... in symptoms like chronic neck pain, joint stiffness, a burning feeling in the neck and shoulders ...
In veterinary literature usually only the lateral bend of head and neck is termed torticollis, whereas the analogon to the rotatory torticollis in humans is called a head tilt. The most frequently encountered form of torticollis in domestic pets is the head tilt, but occasionally a lateral bend of the head and neck to one side is encountered.
A lateral lisp occurs when the [s] and [z] sounds are produced with air-flow over the sides of the tongue. It is also called "slushy ess" or a "slushy lisp" in part due to its wet, spitty sound. The symbols for these lateralised sounds in the extensions to the International Phonetic Alphabet for disordered speech are [ʪ] and [ʫ].
The clivus is an important landmark for checking for anatomical atlanto-occipital alignment. When viewed on a lateral C-spine radiograph, the clivus forms a line which, if extended, is known as Wackenheim's clivus line. Wackenheim's clivus line should pass through the dens of the axis or be tangential to it. [9]
The muscle is responsible for rotation of the head and first cervical vertebra (atlanto-axial joint). [3] The obliquus capitis inferior muscle, like the other suboccipital muscles, has an important role in proprioception. This muscle has a very high density of Golgi organs and muscle spindles which accounts for this. [4]