Open AccessUltrasound criteria for biomechanical component of local and regional level somatic dysfunction in case of myogenic torticollis
Author(s) -
Ю. О. Новиков,
Д. Е. Мохов,
А. Р. Шаяхметов,
И. Э. Салахов,
А. А. Кинзерский,
С. А. Кинзерский
Publication year - 2019
Publication title -
rossijskij osteopatičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2949-3064
pISSN - 2220-0975
DOI - 10.32885/2220-0975-2018-3-4-6-12
Subject(s) - medicine , torticollis , ultrasound , subluxation , cervical spine , cervical vertebrae , spinal canal , physical examination , radiology , anatomy , orthodontics , surgery , pathology , spinal cord , alternative medicine , psychiatry
. Myogenic torticollis is the most common injury in children′s musculoskeletal system. Atlantoaxial rotatory subluxation is one of the main reasons for this pathology. In the newborn even a minor injury during pathological delivery can cause this. The ultrasound method allows you to conduct a real time examination and provide the physician by complete information about the state of pulpal nucleus, fi brous ring, and relative position of cervical vertebrae bodies, spinal canal and radicular canals. Also it allows you to estimate neck muscles thickness and area, which is an informative complementary method of osteopathic diagnosis. Goal of research — clarifi cation of the criteria for biomechanical component of local and regional level somatic dysfunction by ultrasound examination of the cervical spine Materials and methods. The paper presents the data of cervical spine ultrasound examination for 57 nursing infants, infants and preschoolers with myogenic torticollis due to birth injury (ICD code X: P 15.8). Results. An ultrasound examination of the cervical spine determined the quantitative parameters of the atlantoaxial joint and the spinal canal, which was 17,57±0,44 mm. By posterior approach, the asymmetric position of the C II odontoid bone with respect to lateral masses of the atlas was determined; a statistically signifi cant width difference in atlantoaxial joint space was revealed ( p <0,001). By muscles ultrasound examination, signifi cant thickness differences between left and right larger posterior straight muscles of the head ( p <0,05) were found. Signs of instability at the C II– C III level were detected in all patients, with no instability signs at other levels. Conclusion. The established criteria for ultrasound examination are atlantoaxial joint state, hypermobility of spinal motor segments, as well as muscles thickness and area in region under study. This allows us to verify instrumentally biomechanical SD of both local and regional levels, thus dynamic control over osteopathic treatment effectiveness is possible.