Purpose of review: The purpose of this review is to better understand the spectrum of disease in torticollis, which is the third most common pediatric orthopaedic diagnosis in childhood. 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. Recent findings: Recent findings show that magnetic resonance imaging of the brain and neck is no longer considered cost-effective, or necessary, in congenital muscular torticollis.
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Collins A , Jankovic J. Neurology , 67 6 , 01 Sep Cited by 20 articles PMID: Am Fam Physician , 52 6 , 01 Nov J Craniofac Surg , 16 2 , 01 Mar Cited by 14 articles PMID: Laryngoscope , 4 pt 1 , 01 Apr Cited by 26 articles PMID: Herman MJ.
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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. Observation and physical therapy, with or without bracing, is usually an effective treatment in most cases, especially if instituted within the first year of life. Botox has recently been shown to be an effective intermediate method of treatment for more resistant cases of congenital muscular torticollis.
In those presenting after the age of 1 year, there is an increased rate of sternocleidomastoid muscle lengthening. The lengthening may improve the range of motion, but not necessarily the plagiocephaly, facial asymmetry, or cranial molding. Congenital muscular torticollis is benign; missing a case of nonmuscular torticollis could be potentially life threatening. Smart citations by scite. The number of the statements may be higher than the number of citations provided by EuropePMC if one paper cites another multiple times or lower if scite has not yet processed some of the citing articles.
Explore citation contexts and check if this article has been supported or contradicted. Clinical factors in patients with congenital muscular torticollis treated with surgical resection. Congenital muscular torticollis: where are we today? A retrospective analysis at a tertiary hospital.
Botulinum toxin injection for congenital muscular torticollis presenting in children and adults. Pseudotumor of infancy and congenital muscular torticollis. Treatment of recalcitrant idiopathic muscular torticollis in infants with botulinum toxin type a. Pseudotumor of infancy and congenital muscular torticollis: cases. Torticollis in infants and children: common and unusual causes. This website requires cookies, and the limited processing of your personal data in order to function.
Congenital muscular torticollis: current concepts and review of treatment.
The clinical term "torticollis" comes from two Latin words: tortum collum, which means twisted neck. Usually, torticollis is not a diagnosis but rather a manifestation of a variety of underlying conditions. It can result from congenital or acquired causes. It can occur at any age, depending on the etiology. Congenital torticollis is defined as a contracture or fibrosis of the Sternocleidomastoid muscle, on one side, leading to a homolateral inclination and contralateral rotation of the face and chin. This condition requires differentiation from other forms of congenital or acquired torticollis.
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