Algorithm for torticollis diagnosis in children of younger age groups

Yuriy E. Garkavenko; Гаркавенко Юрий Евгеньевич Евгеньевич; Alexander P. Pozdeev; Поздеев Александр Павлович; Irina A. Kriukova; Крюкова Ирина Александровна

doi:10.17816/PTORS79988

低龄儿童斜颈的诊断方法研究

作者: Garkavenko Y.E.¹^,2, Pozdeev A.P.³, Kriukova I.A.⁴
隶属关系:
1. H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
2. North-Western State Medical University named after I.I. Mechnikov
3. Turner National Medical Research Centre for Children’s Orthopedics and Trauma Surgery
4. North-Western State Medical University n.a. I.I. Mechnikov
期: 卷 9, 编号 4 (2021)
页面: 477-490
栏目: Scientific reviews
URL: https://bakhtiniada.ru/turner/article/view/79988
DOI: https://doi.org/10.17816/PTORS79988
ID: 79988

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论证。斜颈（torticollis）是头部和颈部恶性位置的一个常见术语。斜颈可能是各种病理过程的结果，从相对良性到危及生命。这种综合征在儿科实践中具有特殊的相关性，在初级保健水平上经常被低估。

目的是分析国内外文献数据，反映儿童各种类型斜颈的病因和临床特点，并开发方法，以鉴别诊断在较年轻年龄组的患者。

材料与方法。利用关键词和短语在开放信息数据库еLIBRARY和Pubmed中进行文献检索：“斜颈”、 “先天性肌性斜颈”、“非肌性斜颈”、“获得性斜颈”、“神经性斜颈”（torticollis, congenital muscular torticollis, nonmuscular torticollis, acquired torticollis, neurogenic torticollis），但不限制回顾的深度。

结果。根据文献资料，以表格形式给出斜颈的分类及鉴别诊断的重点方向。斜颈的鉴别诊断范围是相当广泛的，在一岁的儿童有自己的特点，不像较大的儿童。最常见的是先天性肌性斜颈。与此同时，非肌性斜颈也很常见，其特点往往是更严重的病因，在这种情况下，需要更彻底的检查。在这项研究中，我们已经编制了一致的方法，鉴别诊断斜颈的儿童更年轻的年龄组。

结论。提高儿科临床医生对斜颈综合征病因的认识水平，将提高早期诊断导致儿童病理性头颈部安装的危险疾病的有效性。

关键词

斜颈, 先天性肌性斜颈, 非肌性斜颈, 获得性斜颈, 神经性斜颈

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作者简介

Yuriy Garkavenko

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov

Email: yurijgarkavenko@mail.ru
ORCID iD: 0000-0001-9661-8718
SPIN 代码: 7546-3080
Scopus 作者 ID: 57193271892

Leading Research Associate of the Department of Bone Pathology; MD, PhD, D.Sc., Professor of the Chair of Pediatric Traumatology and Orthopedics

俄罗斯联邦, 64-68, Parkovaya str., Saint-Petersburg, Pushkin, 196603; 41, Kirochnaya street, Saint-Petersburg, 191015

Alexander Pozdeev

Turner National Medical Research Centre for Children’s Orthopedics and Trauma Surgery

Email: prof.pozdeev@mail.ru
ORCID iD: 0000-0001-5665-6111

MD, PhD, D.Sc., Professor, Chief Researcher of the Department of Bone Pathology

俄罗斯联邦, 64-68, Parkovaya str., Saint-Petersburg, Pushkin, 196603

Irina Kriukova

North-Western State Medical University n.a. I.I. Mechnikov

编辑信件的主要联系方式.
Email: i_krukova@mail.ru
ORCID iD: 0000-0002-0746-5826
SPIN 代码: 7033-8945
Scopus 作者 ID: 57193271878

MD, PhD, neurologist, sonologist, assistant

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

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