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March 1990

Radiological Cases of the Month

Author Affiliations

Contributed from the Department of Physical Therapy, The University of Texas Medical Branch at Galveston, School of Allied Health Sciences.

Am J Dis Child. 1990;144(3):341-342. doi:10.1001/archpedi.1990.02150270091032

A 21-month-old white female infant was examined in the pediatric clinic and referred to the physical therapy clinic with a diagnosis of torticollis. She was alert and afebrile, with normal vital signs and respiration. She presented with a cervical posture of forward and lateral flexion and rotation to the right. Further examination revealed point tenderness of the right sternocleidomastoid muscle. She was unwilling to undergo passive stretching of the right sternocleidomastoid muscle because of pain. Cervical spine roentgenograms were obtained to investigate possible anomalies or trauma (Figs 1 and 2).

Denouement and Discussion 

Toy 'Jack' Aspiration Into the Hypopharynx  The patient was taken to the operating room, and while she was under general anesthesia a toy "jack" (Fig 3) was removed by direct endoscopy and rigid bronchoscopic forceps. It had been lodged in the hypopharynx. She tolerated the procedure well but developed a mild case of pneumonia subsequently.More than

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