{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:23Z","timestamp":1787755823572,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 10-year-old girl developed persistent torticollis after surgery for a clavicular fracture. This condition was initially misattributed to muscle spasms and hardware irritation, leading to a delayed diagnosis. Eventually, the patient developed cervical myelopathy, and subsequent evaluation revealed atlantoaxial rotatory subluxation (AARS) equivalent to Fielding and Hawkins type III, ultimately requiring emergency surgical fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Persistent torticollis after pediatric clavicle fractures warrants careful evaluation for possible AARS. Awareness of this rare coexistence and timely imaging are essential to avoid invasive surgery and serious complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00357","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T19:00:18Z","timestamp":1764874818000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Presentation of Pediatric Atlantoaxial Subluxation with Cervical Myelopathy After Clavicle Fracture"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-9077","authenticated-orcid":false,"given":"Sang Bum","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-8975","authenticated-orcid":false,"given":"Hyung-Jin","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-4358","authenticated-orcid":false,"given":"Seung Hoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"suppl 1","key":"bib1-20251204","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BPO.0b013e31825870ad","article-title":"Clavicle shaft fractures: are children little adults?","volume":"32","author":"Caird","year":"2012","journal-title":"J Pediatr Orthop."},{"issue":"46","key":"bib2-20251204","doi-asserted-by":"crossref","first-page":"e8781","DOI":"10.1097\/MD.0000000000008781","article-title":"Clavicle fracture associated with atlantoaxial rotatory displacement, type II in an 8-year-old girl: a case report","volume":"96","author":"Karski","year":"2017","journal-title":"Medicine (Baltimore)."},{"issue":"5","key":"bib3-20251204","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1302\/0301-620X.98B5.36306","article-title":"The delayed presentation of atlantoaxial rotatory fixation in children: a review of the management","volume":"98-b","author":"Mifsud","year":"2016","journal-title":"Bone Jt J."},{"issue":"6","key":"bib4-20251204","doi-asserted-by":"crossref","first-page":"382","DOI":"10.5435\/JAAOS-D-14-00115","article-title":"Atlantoaxial rotatory subluxation in children","volume":"23","author":"Neal","year":"2015","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib5-20251204","doi-asserted-by":"crossref","first-page":"37","DOI":"10.2106\/00004623-197759010-00005","article-title":"Atlanto-axial rotatory fixation. 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