{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:17:07Z","timestamp":1788283027309,"version":"build-2803163510"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Torticollis is a common presentation in paediatric emergency departments (PEDs), usually benign but sometimes the first sign of serious pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed children &amp;lt;18 years presenting with torticollis to the PED at Tel Aviv Sourasky Medical Center (2018 through 2023). The primary outcome was a clinically significant underlying condition: (1) infectious aetiology, (2) head, neck, or cervical spine tumour or (3) atlantoaxial rotatory fixation (AARF) requiring intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 352 children (median age 4.8 years; 52% male), 59 (17%) had a clinically significant diagnosis: infectious causes (35\/59 [59%]), AARF (18\/59 [30%]) and tumours (6\/59 [10%]). Infectious cases were younger (P = 0.03), more likely to be febrile (P &amp;lt; 0.001), and had higher C-reactive protein levels (P &amp;lt; 0.001). AARF was associated with older age (P = 0.002), prolonged symptoms (P &amp;lt; 0.001), midline tenderness (P = 0.002) and restricted motion (P &amp;lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>One in six children with torticollis had a serious underlying condition, supporting a structured, symptom-guided diagnostic approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pch\/pxaf113","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T13:24:15Z","timestamp":1761830655000},"page":"111-119","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of clinically significant underlying etiologies in children presenting with torticollis"],"prefix":"10.1093","volume":"31","author":[{"given":"Matan","family":"Shemer","sequence":"first","affiliation":[{"name":"Department of Pediatric, Dana Dwek Children Hospital, Tel Aviv Sourasky Medical Center , Tel Aviv ,","place":["Israel"]},{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shai","family":"Noyman","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayelet","family":"Rimon","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University , Tel Aviv ,","place":["Israel"]},{"name":"Pediatric Emergency Department, Dana Dwek Children Hospital, Tel Aviv Sourasky Medical Center , Tel Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7694-6407","authenticated-orcid":false,"given":"Neta","family":"Cohen","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University , Tel Aviv ,","place":["Israel"]},{"name":"Pediatric Emergency Department, Dana Dwek Children Hospital, Tel Aviv Sourasky Medical Center , Tel Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"issue":"3","key":"2026031105402145100_pxaf113-B1","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00431-021-04316-4","article-title":"Torticollis in childhood\u2014A practical guide for initial assessment","volume":"181","author":"Ben Zvi","year":"2022","journal-title":"Eur J 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