CONGENITAL MUSCULAR TORTICOLLIS CURRENT CONCEPTS AND REVIEW OF TREATMENT PDF

E-mail: moc. This article has been cited by other articles in PMC. Abstract Congenital muscular torticollis CMT is a rare congenital musculoskeletal disorder characterized by unilateral shortening of the sternocleidomastoid muscle SCM. It presents in newborn infants or young children with reported incidence ranging from 0. Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin. It is seen in 0.

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E-mail: moc. This article has been cited by other articles in PMC. Abstract Congenital muscular torticollis CMT is a rare congenital musculoskeletal disorder characterized by unilateral shortening of the sternocleidomastoid muscle SCM.

It presents in newborn infants or young children with reported incidence ranging from 0. Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin. It is seen in 0. Numerous theories have been proposed, but the true etiology of CMT remains uncertain.

Various causes implicated for CMT includes intrauterine crowding or vascular phenomenon, fibrosis from peripartum bleeds, compartment syndrome, primary myopathy of the SCM and traumatic delivery. In children older than 1 year, corrective surgery has both cosmetic and functional benefits, the best outcomes being obtained between the ages of 1 and 4. On examination head tilt to the right with chin deviation to the left was noted [ Figure 1 ]. There was a significant restriction of neck movement, especially on lateral rotation.

There was no obvious facial asymmetry. On palpation right SCM muscle was non-tender, taut and cord like. No lump or mass could be palpated along the entire muscle length. Systemic evaluation revealed no abnormality. Radiographs of the cervical spine, hips and lower extremities were normal. No neurological or ophthalmologic deficit could be elicited.

Based on the above findings, a clinical diagnosis of CMT was established.

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Curr Opin Pediatr. Congenital muscular torticollis: current concepts and review of treatment. Do TT 1. Besides the benign muscular tightness of the sternocleidomastoid muscle leading to the classic head position, the differential diagnosis of the wry neck include sequelae to inflammatory, ocular, neurologic or orthopedic diseases. Patients present with a stiff and tilted neck, and therefore require a thorough and systematic work-up, including a complete physical and neurologic examination and cervical spine radiographs.

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