Cervical Spine Subluxation Associated with Congenital Muscular Torticollis and Craniofacial Asymmetry

Background & Importance: Congenital Muscular Torticollis (CMT) is a common cause of torticollis in children. Despite the easy diagnosis, rare cases may be neglected and untreated during the management of the patients, which can not only impose cosmetic problems for them but also affect the cervical spine with accelerated degeneration. Most patients with CMT can be managed non-surgically with medical and physical therapies but surgery is indicated in some cases when non-surgical attempts are unsuccessful. Case Presentation: Herein, we are reporting a 16-year-old female with neglected CMT, and neck pain secondary to severe degenerative changes. We believe that neglected and untreated CMT cases may present with accelerated spine degeneration and surgical intervention should be considered promptly to reverse this process. Conclusion: Surgical intervention not only produces good cosmetic results but also reverses the degeneration process and protects the patient from disabling deformities later in life.

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Cervical Spine Dysmorphism in Congenital Muscular Torticollis

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004357 ◽

2018 ◽

Vol 29 (4) ◽

pp. 925-929 ◽

Cited By ~ 3

Author(s):

Mohammed Ahmed Hussein ◽

In Sik Yun ◽

Dong won Lee ◽

Hanna Park ◽

Kim Yong Oock

Keyword(s):

Cervical Spine ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis

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Cervical Spine Deformity in Long-Standing, Untreated Congenital Muscular Torticollis

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000003182 ◽

2017 ◽

Vol 28 (1) ◽

pp. 46-50 ◽

Cited By ~ 5

Author(s):

Mohammed Ahmed Hussein ◽

In Sik Yun ◽

Hanna Park ◽

Yong Oock Kim

Keyword(s):

Cervical Spine ◽

Spine Deformity ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis

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Cervical Spine Subluxation Associated with Congenital Muscular Torticollis and Craniofacial Asymmetry

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199306000-00001 ◽

1993 ◽

Vol 91 (7) ◽

pp. 1187-1195 ◽

Cited By ~ 45

Author(s):

R. Kendrick Slate ◽

Jeffrey C. Posnick ◽

Derek C. Armstrong ◽

J. Raymond Buncic

Keyword(s):

Cervical Spine ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis

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The status of the cervical spine in preschool children with a history of congenital muscular torticollis

Open Journal of Therapy and Rehabilitation ◽

10.4236/ojtr.2013.12006 ◽

2013 ◽

Vol 01 (02) ◽

pp. 31-35 ◽

Cited By ~ 3

Author(s):

Anna M. Öhman

Keyword(s):

Cervical Spine ◽

Preschool Children ◽

Congenital Muscular Torticollis ◽

The Status ◽

History Of ◽

Muscular Torticollis

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Evaluation of the Clinical Role of Strain Elastography in Patients Diagnosed With Congenital Torticollis

Journal of Diagnostic Medical Sonography ◽

10.1177/8756479320983242 ◽

2021 ◽

pp. 875647932098324

Author(s):

Elif Özyazici Özkan ◽

Mehmet Burak Ozkan ◽

İshak Abdurrahman İsik

Keyword(s):

Area Under The Curve ◽

Muscle Group ◽

Receiver Operating Curve ◽

Control Group ◽

Clinical Role ◽

Congenital Muscular Torticollis ◽

Cutoff Value ◽

Strain Elastography ◽

Specificity And Sensitivity ◽

Muscular Torticollis

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.

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