Congenital Muscular Torticollis

1996 ◽  
Vol 17 (10) ◽  
pp. 374-375
Author(s):  
Nathaniel H. Robin

Congenital muscular torticollis (CMT) refers to unilateral contracture of the sternocleidomastoid (SCM) muscle that restricts the infant's range of motion at the neck, with the head tilted toward the shortened SCM and the chin rotated to point away from the affected side. Although a mass often is palpable in the inferior part of the affected SCM, in many cases this is not appreciated in the immediate newborn period; the condition may be recognized only as the infant develops better head control over the first few weeks of life, making the head tilt more obvious. Potential complications of CMT include facial asymmetry and plagiocephaly from the uneven tension produced by the contracted SCM as well as cervical scoliosis, with a compensatory thoracic scoliosis.

2013 ◽  
Vol 37 (2) ◽  
pp. 183 ◽  
Author(s):  
Jin-Youn Lee ◽  
Seong-Eun Koh ◽  
In-Sik Lee ◽  
Heeyoune Jung ◽  
Jongmin Lee ◽  
...  

2019 ◽  
Vol 60 (01) ◽  
pp. 016-020
Author(s):  
Ramji Sahu

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.


2016 ◽  
Vol 27 (1) ◽  
pp. 64-69 ◽  
Author(s):  
Seung Jo Seo ◽  
Joo Hyoung Kim ◽  
Young Hoo Joh ◽  
Dong Ha Park ◽  
Il Jae Lee ◽  
...  

2016 ◽  
Vol 31 (8) ◽  
pp. 1098-1106 ◽  
Author(s):  
Esra Giray ◽  
Evrim Karadag-Saygi ◽  
Basak Mansiz-Kaplan ◽  
Duygu Tokgoz ◽  
Ozun Bayindir ◽  
...  

Objective: To investigate the effects of kinesiology taping and different types of application techniques of kinesiology taping in addition to therapeutic exercises in the treatment of congenital muscular torticollis. Design: Prospective, single blind, randomized controlled trial. Setting: An outpatient rehabilitation clinic in a tertiary university hospital. Subjects: Infants with congenital muscular torticollis aged 3-12 months. Interventions: Group 1 included 11 infants who only received exercises, Group 2 included 12 infants who received kinesiology taping applied on the affected side by using inhibition technique in addition to exercises. Group 3 included 10 infants who additionally received kinesiology taping applied on the unaffected side by using facilitation technique and on the affected side by using inhibition technique. Main measures: Range of motion in lateral flexion and rotation of the neck, muscle function and degree of craniofacial changes were assessed at pretreatment, post treatment and, 1 month and 3 months’ post treatment. Results: Friedman analysis of within-group changes over time revealed significant differences for all of the outcome variables in all groups except cervical rotation in Group 3 ( P<0.05). No significant differences were found between groups at any of the follow-up time points for any of the outcome variables ( P>0.05). Conclusions: There is no any additive effect of kinesiology taping to exercises for the treatment of congenital muscular torticollis. Also different techniques of applying kinesiology taping resulted in similar clinical outcomes.


2021 ◽  
pp. 83-85

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.


2005 ◽  
Vol 7 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Eva Perbeck Klackenberg ◽  
Britt Elfving ◽  
Yvonne Haglund-Åkerlind ◽  
Eva Brogren Carlberg

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