examination and imaging of the cervical spine excludes more serious injuries Treatment includes a soft cervical collar and nonsteroidal anti-inflammatory drugs (NSAIDs) Clavicular Fracture Fracture of the clavicle in children is common and may cause torticollis because of SCM muscle spasm This diagnosis is usually clear because pain, tenderness, and swelling are noted over the fracture site The acute symptoms associated with clavicular fractures may occasionally mask an associated rotary atlantoaxial subluxation