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J. Wesley McWhorter, MPT, PhD; Beverly P. Wood, MD

Am J Dis Child. 1990;144(3):341-342.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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.

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

Footnotes
Accepted for publication May 26, 1989.

Reprint requests to Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Wood).

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