scholarly journals Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis

2022 ◽  
pp. 100393
Author(s):  
Rahul Varman ◽  
Ziyang Li ◽  
Joshua Demke
1993 ◽  
Vol 17 (2) ◽  
pp. 115-119 ◽  
Author(s):  
C. Y. Cheng ◽  
K. W. Ho ◽  
K. K. Leung

A multi-adjustable torticollis orthosis is described for the post-operative bracing of patients after surgical correction of congenital muscular torticollis. The orthosis can be put on in the early post-operative period and the head and neck position can be maintained in the corrected, and later over-corrected position by the built-in multi-adjustable joint-mechanism. The details of the manufacturing are described. Twenty-five patients (13 girls and 12 boys) from age 1 to 22 with congenital muscular torticollis were fitted with the orthosis post-operatively for an average duration of 10 weeks. Satisfactory compliance with the orthosis was found in 23 cases. Complications were minimal (3 cases) and were related to scalp irritation which improved after minor adjustments of the halo.


2021 ◽  
pp. 875647932098324
Author(s):  
Elif Özyazici Özkan ◽  
Mehmet Burak Ozkan ◽  
İshak Abdurrahman İsik

Objective: The objective of this study was to determine the elasticity of sternocleidomastoid muscle (SCM) in patients with congenital muscular torticollis (CMT). Methods: In all, 41 patients and 22 controls were included in the study, and the elasticity of the patients’ SCM was measured. Echogenicity, thickness, and strain values of the SCM were also obtained. Results: The thickness and strain values of the SCM were higher in the patient group than in the control group ( P = .02 and P = .15). For median values, there was no difference in echogenicity and strain. In the strain elastography evaluation of the receiver operating curve (ROC) for muscle echogenicity in the isoechoic muscle group, the specificity and sensitivity were determined to be 100% and 22%, respectively, for the area under the curve (AOC) value of 0.558 (95% confidence interval [CI], 0.424–0.6686), and the cutoff value was <1.4. In the hyperechoic muscle group, the ROC for AUC values was found to be 0.542 (95% CI, 0.411–0.6686), and the cutoff value was >1.4 with 100% sensitivity and 20.75 specificity. Conclusions: The strain elastography technique can be used in the diagnosis of CMT.


1993 ◽  
Vol 91 (7) ◽  
pp. 1196-1197
Author(s):  
R. Kendrick Slate ◽  
Jeffrey C. Posnick ◽  
Derek C. Armstrong ◽  
J. Raymond Buncic ◽  
Milton T. Edgerton

1986 ◽  
Vol &NA; (202) ◽  
pp. 193???196 ◽  
Author(s):  
F. THOMPSON ◽  
S. MCMANUS ◽  
J. COLVILLE

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