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 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.

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 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

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

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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