Rotatory subluxation of the atlantoaxial joint or Grisel’s syndrome. Case report

Authors

  • Marta Molinedo Quílez Hospital San Jorge. Huesca
  • Amparo Fontestad Utrillas Hospital San Jorge. Huesca
  • Paúl Vicente Alonso de Armiño Hospital San Jorge. Huesca
  • Marta Sancho Rodrigo Hospital San Jorge. Huesca
  • Daniel Marín Puyalto Hospital San Jorge. Huesca
  • Iraia Berasategi Noriega Hospital San Jorge. Huesca

DOI:

https://doi.org/10.1016/j.rccot.2022.04.002

Keywords:

spontaneous fractures, orthogeriatric, postoperative complications, hip fracture

Abstract

Torticollis is an unilateral involuntary contracture of the sternocleidomastoid and posterior neck musculature that causes the head tilts to the one side. Multiple causes of torticolis have been described, one of them being the non-traumatic rotatory subluxation of the atlantoaxial joint associated with an inflammatory process in the head and neck region, called Grisel’s syndrome. Although most patients usually recover without sequels after medical treatment, there is the possibility of serious complications with functional deficits, that is why the importance of an early diagnosis and treatment of this potology.

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Author Biographies

Marta Molinedo Quílez, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

Amparo Fontestad Utrillas, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

Paúl Vicente Alonso de Armiño, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

Marta Sancho Rodrigo, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

Daniel Marín Puyalto, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

Iraia Berasategi Noriega, Hospital San Jorge. Huesca

Servicio de Cirugía ortopédica y traumatología, Hospital San Jorge (Huesca).

References

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Natividad Pedreño M, Tapia Celada F, Vazquez Alegria N, Cobo Valenzuela N. Subluxación rotatoria C1-C2. Síndrome de Grisel. Rev. Med. Jaen. 2010:22-3.

Ortiz GL, Pratts I, Ramos E. Grisel’s syndrome: An unusual cause of Torticollis. J Pediatr Rehabil Med. 2013;6:175-80, http://dx.doi.org/10.3233/PRM-130253.

Pasquale anania, et al. Grisel Syndrome in Pediatric Age: A Single- Center Italian Experience and Review of the Literature. World Neurosurg. 2019;125:374-82.

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Iaccarino C, et al. Grisel’s Syndrome: Non-traumatic Atlantoaxial Rotatory Subluxation-Report of Five Cases and Review of the Literature. Acta Neurochir Suppl. 2019;125:279-88.

Karkos PD, Benton J, Leong SC, Mushi E, Sivaji N, Assimakopoulos DA. Grisel’s Syndrome in Otolaryngology: A Systematic Review. Int J Pediatr Otorhinolaryngol. 2007;71:1823-7.

Andermatten JA, Elua Pinin A, Samprón Lebed N, Armendariz Guezala M, Arrazola Schlamilch M, Úrculo Bareño E. Subluxación atlanto-axoidea secundaria a absceso retrofaríngeo en el adulto (Síndrome de Grisel). Revisión de la literatura a propósito de un caso. Neurocirugia (Astur: Engl Ed). 2020;31:201-5, http://dx.doi.org/10.1016/j.neucir.2019.08.001.

Published

2022-05-11

How to Cite

1.
Molinedo Quílez M, Fontestad Utrillas A, Alonso de Armiño PV, Sancho Rodrigo M, Marín Puyalto D, Berasategi Noriega I. Rotatory subluxation of the atlantoaxial joint or Grisel’s syndrome. Case report. Rev. Colomb. Ortop. Traumatol. [Internet]. 2022 May 11 [cited 2025 May 11];36(1):55-9. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/191

Issue

Section

Original research