Traumatic Atlanto-Axial Rotary Subluxation (AARS) in a 6-Year-Old Child during Recreational Jūdō Practice: A Case Report and Mini-Review of Serious Neck Injuries in Jūdō

A 6-year-old Caucasian girl with approximately 1 year of recreational jūdō experience presented with neck and shoulder pain while holding her head in a 'Cock-robin' sideways tilted position. During a children's jūdō class while seated on 'all fours' she had been subjected to an improperly executed turnover performed by a boy of similar age, body mass and experience. Because of increasing torticollis symptoms after class she was taken by her parents to a local hospital's emergency department where X-rays showed a mid-clavicular fracture. It was not until 7 weeks post-accident that a CT scan was ordered and a type-III traumatic acute AARS causing her clinical symptoms was recognized.