scholarly journals Results of Minimally Invasive Bipolar Tenotomy of Congenital Muscular Torticollis

2019 ◽  
Vol 60 (01) ◽  
pp. 016-020
Author(s):  
Ramji Sahu
Keyword(s):  
Postoperative Complications ◽  
Orthopedic Surgery ◽  
Head Tilt ◽  
Good Method ◽  
Range Of Movement ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis ◽  
Postural Deformity ◽  
Difficult Cases

Background Congenital muscular torticollis is the postural deformity of the head and of the neck. The purpose of the present study is to evaluate the results of bipolar sternocleidomastoid (SCM) muscle tenotomy in children. Methods The present prospective study was conducted at the Department of Orthopedic Surgery from December 2010 to December 2014. A total of 34 children with congenital muscular torticollis and a mean age of 4.8 years (range: 1–14 years) were recruited from the Outpatient Department. They were treated with bipolar SCM muscle release under general anesthesia. The functional and cosmetic results were rated on a scoring system modified from Lim et al (2014). All of the children were followed-up for 2 years. Results At the final follow-up, the neck range of movement and head tilt improved and their appearance were cosmetically improved despite the long-standing nature of the deformity. The results were excellent in 30 patients (88.23%) and good in 4 patients (11.76%). No postoperative complications were found in any of the 34 patients. Conclusion Bipolar tenotomy of the SCM muscle is a good method for correcting difficult cases of congenital muscular torticollis. It is a safe, effective and complication-free method for these patients.

scholarly journals Management of congential muscular toticollis under one year of age

2012 ◽  
Vol 1 (2) ◽  
pp. 2-5
Author(s):  
Abdul Matin ◽  
Md Rafiqul Islam ◽  
Ranjit Ranjan Roy ◽  
Bijoy Krishna Das ◽  
Sudesh Chandra Rakshit ◽  
...  
Keyword(s):  
Head And Neck ◽  
Sternocleidomastoid Muscle ◽  
Medical College Hospital ◽  
College Hospital ◽  
Congenital Muscular Torticollis ◽  
Medical College ◽  
One Year ◽  
Neonates And Infants ◽  
Muscular Torticollis ◽  
Postural Deformity

Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM), In neonates and infants, patient may cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. Here we show our experience regarding management of congenital muscular torticollis with physiotherapy. Patients and Methods: This is an observational descriptive study. Verbal consent from parents was taken. Patients of congenital muscular torticollis with other disease or other congenital anomaly were excluded from study. Twenty patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women's Medical College Hospital, Shaheed Shurawardy Medical College Hospital. Neonates and infants were treated conservatively with physiotherapy and non responsive cases were referred for surgery. Results: Patients age range from 5 days to 1 year of which eleven were females and nine were males. Sternocleidomastoid muscle (SCM) was shortened in all cases (12 on right side and 8 on left side). Of 20 patients 6 neonates, rest 14 infants within 1 year age. Out of 20 neonates and infants 17 were cured conservatively with physiotherapy and rest 3 were referred for surgery. Conclusion: Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12157 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.2-5

Factors Correlating Outcome in Young Infants with Congenital Muscular Torticollis

2016 ◽  
Vol 67 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Ji Hwa Ryu ◽  
Dong Wook Kim ◽  
Seung Ho Kim ◽  
Hyun Seok Jung ◽  
Hye Jung Choo ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Clinical Suspicion ◽  
Thickness Ratio ◽  
Clinical Factors ◽  
Congenital Muscular Torticollis ◽  
Factors Associated ◽  
Young Infants ◽  
Visible Lesion ◽  
Muscular Torticollis

Purpose No previous study using follow-up ultrasonography for evaluating the factors associated with the successful regression of congenital muscular torticollis in young infants has been published. This study aimed to assess clinical factors and sonographic features potentially influencing regression in patients with congenital muscular torticollis. Methods From January 2010 to December 2012, 80 infants underwent neck ultrasonography because of clinical suspicion of congenital muscular torticollis. We statistically analysed the correlation between complete resolution and clinicosonographic findings when complete resolution was defined as no visible lesion on follow-up ultrasonography. Results Of the 80 infants, 61 had congenital muscular torticollis and all were followed up by ultrasonography: 1) 34 underwent physiotherapy, and 27 of them (79.4%) revealed complete resolution in follow-up; 2) 27 did not undergo physiotherapy, and 15 of them (55.6%) showed complete resolution. A statistically significant correlation was found between physiotherapy and complete resolution, but not between complete resolution and patient sex; size, volume, and echogenicity of the lesion; and thickness ratio. Conclusions Physiotherapy was the only factor influencing complete resolution in young infants with congenital muscular torticollis.

scholarly journals Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 735
Author(s):  
Jun-il Park ◽  
Joo-Hyun Kee ◽  
Ja Young Choi ◽  
Shin-seung Yang
Keyword(s):  
Clinical Symptoms ◽  
Limited Range ◽  
Neck Mass ◽  
Congenital Muscular Torticollis ◽  
Limited Range Of Motion ◽  
Chi Squared ◽  
Long Term Follow Up ◽  
Muscular Torticollis

It has been reported that congenital muscular torticollis (CMT) may result in secondary scoliosis over long-term follow-ups. However, there are few reports on whether CMT causes pelvic malalignment syndrome (PMS). This study aimed to investigate the relationship between CMT and PMS and to determine the factors associated with the development of PMS in children with longstanding CMT. Medical records of 130 children with CMT who had long-term follow-up were reviewed retrospectively. The chi-squared test and logistic regression analysis were used to determine which initial clinical parameters contributed to the development of PMS. Among 130 children with CMT, 51 (39.2%) developed PMS with or without compensatory scoliosis during long-term follow-up, indicating a high prevalence of PMS in children with a CMT history. Initial clinical symptoms such as a limited range of motion of the neck or the presence of a neck mass could not predict the development of PMS. Even if the clinical symptoms are mild, long-term follow-up of children with CMT is essential to screen for PMS.

scholarly journals Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis

Medicine ◽  
2017 ◽  
Vol 96 (6) ◽  
pp. e6068 ◽  
Author(s):  
Ching-Fang Hu ◽  
Tieh-Cheng Fu ◽  
Chung-Yao Chen ◽  
Carl Pai-Chu Chen ◽  
Yu-Ju Lin ◽  
...  
Keyword(s):  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

scholarly journals Assessment of Follow-Up Sonography and Clinical Improvement among Infants with Congenital Muscular Torticollis

2012 ◽  
Vol 34 (4) ◽  
pp. 890-894 ◽  
Author(s):  
H.-J. Park ◽  
S.S. Kim ◽  
S.-Y. Lee ◽  
Y.-T. Lee ◽  
K. Yoon ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

Effectiveness of hydrotherapy in congenital muscular torticollis

2021 ◽  
pp. 83-85
Keyword(s):  
Physical Therapy ◽  
Conservative Treatment ◽  
Surgical Intervention ◽  
Musculoskeletal Diseases ◽  
Head Tilt ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

Congenital muscular torticollis (CMT); is one of the musculoskeletal diseases seen in the neonatal and infant period. It is formed as a result of stretching the sternocleidomastoid (SCM) muscle in childhood. Due to unilateral contraction of the SCM muscle, ipsilateral head tilt, contralateral face and jaw rotation occur. Exercise and positioning in physical therapy constitute the conservative treatment of CMT. Hydrotherapy treatment has not been used in CMT cases. However, most of the CMT which are not treated early are resolved by surgical intervention. In this case, the effectiveness and success of exercise and hydrotherapy on the patient with CMT were presented.

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