Clubfoot and Congenital Muscular Torticollis Prevalence in Children Diagnosed with Developmental Dysplasia of Hip: Review of 594 DDH Patients

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.

Download Full-text

Cervical Spine Subluxation Associated with Congenital Muscular Torticollis and Craniofacial Asymmetry

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199306000-00002 ◽

1993 ◽

Vol 91 (7) ◽

pp. 1196-1197

Author(s):

R. Kendrick Slate ◽

Jeffrey C. Posnick ◽

Derek C. Armstrong ◽

J. Raymond Buncic ◽

Milton T. Edgerton

Keyword(s):

Cervical Spine ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis

Download Full-text

The Sonographic Correlation between The Sternocleidomastoid Muscle Thickness and the Prognosis of Congenital Muscular Torticollis

Journal of the Korean Society of Radiology ◽

10.3348/jksr.2009.60.2.133 ◽

2009 ◽

Vol 60 (2) ◽

pp. 133 ◽

Cited By ~ 4

Author(s):

Daekeon Lim ◽

Woocheol Kwon ◽

Seung Whan Cha ◽

Hoseok Yoo ◽

Sanghyeok Lim ◽

...

Keyword(s):

Muscle Thickness ◽

Sternocleidomastoid Muscle ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis

Download Full-text

Results of surgical treatment of developmental dysplasia of hip considering child’s age

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1102058m ◽

2011 ◽

Vol 139 (1-2) ◽

pp. 58-63 ◽

Cited By ~ 1

Author(s):

Sonja Milasinovic

Keyword(s):

Surgical Treatment ◽

Human Life ◽

Functional Results ◽

Developmental Dysplasia ◽

Preoperative Treatment ◽

Locomotor System ◽

Developmental Dysplasia Of Hip ◽

Innominate Osteotomy ◽

Medical Documents ◽

Late Discovery

Introduction. Developmental dysplasia of the hip (DDH) represents one of common diseases of the locomotor system. Late discovery and inadequate healing of this defect leads to serious disability in the best years of human life. Objective. The aim of this study was to analyze the quality of functional and anatomic restitution of the diseased hip, depending on the age of the patient at the time of surgery. Methods. Our retrospective study was developed on 78 children surgically treated for DDH. The examiners were distributed in three groups according to age in which they had been operated. The data were produced on the basis of full-scale medical documents for each patient. Results. We analyzed and compared anatomic and functional results of surgeries treating DDH in the group of examiners. On examination, we got data that the most prevalent were distorted gait, inequality of the legs and positive Trendelendburg?s sign in the group of children who had been operated in the oldest age. The patients who were surgically treated in older age had worse postoperative results in aspect value angle of flexion and abduction in treated hip, higher frequency in manifesting pain and asymmetric gait. Better corrective results on aspect of dimension of the colodiaphyseal and Hilgenrainer?s angle will be obtained if DDH treatment is conducted in younger age of patients. In 94.95%, the patients were treated with Salter innominate osteotomy of pelvis with osteotomy of the femur involving its shortening and reverse rotation. Preoperative treatment with Pavliks harness was provided in 44.02% children, with abduction of Hilgenrainer?s apparatus in 2.6%, with abductions ?Niva? slips in 2.6% and preoperative extension in 28.2%. Conclusion. The surgical treatment of DDH in the observed patients done at the earlier age of growth resulted in the evidently better anatomical and functional results at postoperative observation.

Download Full-text

Familial Congenital Muscular Torticollis

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-198601000-00025 ◽

1986 ◽

Vol &NA; (202) ◽

pp. 193???196 ◽

Cited By ~ 1

Author(s):

F. THOMPSON ◽

S. MCMANUS ◽

J. COLVILLE

Keyword(s):

Congenital Muscular Torticollis ◽

Muscular Torticollis

Download Full-text