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Congenital muscular torticollis.

Nilesh K, Mukherji S - Ann Maxillofac Surg (2013)

Bottom Line: It presents in newborn infants or young children with reported incidence ranging from 0.3% to 2%.Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin.This article reports a case of CMT in a 3½-year-old male child successfully managed by surgical release of the involved SCM followed by physiotherapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Sciences, KIMSDU, Karad, Maharashtra, India.

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 0.3% to 2%. Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin. This article reports a case of CMT in a 3½-year-old male child successfully managed by surgical release of the involved SCM followed by physiotherapy.

No MeSH data available.


Related in: MedlinePlus

Preoperative clinical photograph showing the child with congenital muscular torticollis affecting the right sternocleidomastoid muscle
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Figure 1: Preoperative clinical photograph showing the child with congenital muscular torticollis affecting the right sternocleidomastoid muscle

Mentions: A 3½-year-old male child presented with the complaint of neck stiffness and restricted head movement. 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.


Congenital muscular torticollis.

Nilesh K, Mukherji S - Ann Maxillofac Surg (2013)

Preoperative clinical photograph showing the child with congenital muscular torticollis affecting the right sternocleidomastoid muscle
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814673&req=5

Figure 1: Preoperative clinical photograph showing the child with congenital muscular torticollis affecting the right sternocleidomastoid muscle
Mentions: A 3½-year-old male child presented with the complaint of neck stiffness and restricted head movement. 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.

Bottom Line: It presents in newborn infants or young children with reported incidence ranging from 0.3% to 2%.Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin.This article reports a case of CMT in a 3½-year-old male child successfully managed by surgical release of the involved SCM followed by physiotherapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Sciences, KIMSDU, Karad, Maharashtra, India.

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 0.3% to 2%. Owing to effective shortening of SCM on the involved side there is ipsilateral head tilt and contralateral rotation of the face and chin. This article reports a case of CMT in a 3½-year-old male child successfully managed by surgical release of the involved SCM followed by physiotherapy.

No MeSH data available.


Related in: MedlinePlus