A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review

Kurniawan, Aryadi; Canintika, Anissa Feby

doi:10.1016/j.ijscr.2022.107298

Cited by 4 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CMT is characterised by the shortening or excessive contraction of the sternocleidomastoid (SCM) muscles, which causes lateral flexion of the head to the side of torticollis, with rotation towards the opposite side and other accompanying asymmetries [ 38 ]. CMT can contribute to plagiocephaly, developmental dysplasia of the hip, brachial plexus trauma, and anomalies of the feet or lower limbs [ 8 , 31 ]. CMTs are most often located unilaterally and seldom bilaterally.…”

Section: Discussionmentioning

confidence: 99%

“…Asymmetrical loads on the hip and pelvic joints can result in remote deformities. When left untreated, CMT may result in a progressive limitation of head movement, which may end up in eye movement disorders, craniofacial asymmetry, malocclusion, visual defects, neck pain and a compensatory asymmetrical spine curvature that worsens with age [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…When secondary contracture of the SCM muscle occurs, an examination reveals rotation restriction in the direction opposite to that of the torticollis. What is typical of CMT is the flattening of the skull in the parieto-occipital region [ 5 , 8 ]. This deformity is caused by pressure on the lambdoid suture at the end of pregnancy ( Figure 4 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Congenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis

Płomiński,

Olesińska,

Kamelska-Sadowska

et al. 2023

Healthcare

View full text Add to dashboard Cite

Introduction: Congenital muscular torticollis (CMT) is an asymmetrical head position resulting from structural changes in the sternocleidomastoid (SCM) muscle that occurs early during a child’s development or due to perinatal trauma. Children with CMT exhibit a marked imbalance in tension between the SCMs. In a typical clinical picture, an ultrasound scan is performed to reveal characteristic lesions, such as tissue fibrosis or post-traumatic changes. An early diagnosis of CMT in newborns and the implementation of treatment offer the chance of a complete resolution. Torticollis treatment aims to restore the SCM’s normal function. Surgical treatment is performed when conservative methods fail to improve the patient’s condition. The indications that surgery is needed include a marked shortening of the SCM, persistent fibrosis in the muscle, constant head and facial asymmetry, and rotation or lateral flexion in the cervical spine restricted by >15°. Of all the newborn and infant anomalies, congenital torticollis is the third most common after hip dysplasia and equinovarus deformities. Some authors demonstrate that torticollis coexists with hip dysplasia. Aim: The aim of this study was to collect data on infants referred to paediatric rehabilitation and to identify the risk factors associated with CMT in this group of patients, as well as to assess demographic and clinical characteristics concerning risk factors. Materials and methods: The target population for this retrospective study consisted of 111 infants aged 0 to 5 months born in Poland and diagnosed with and undergoing treatment due to CMT. The following were determined: the relationship between the side of the CMT location and the type of delivery (caesarean section vs. vaginal), the relationship between the body weight at birth and the side of the CMT location, the relationship between the extent of SCM thickening and the type of delivery, and the incidence of CMT depending on the order of delivery. Results and conclusions: The data revealed that CMT is less common in female infants (n = 51, 46%) compared to male (n = 61, 54%) infants, in whom a greater birth weight was reported (p < 005). Seventy-six percent (76%) of the paediatric patients with CMT were the offspring of primipara mothers. More often, children born via vaginal delivery had left-sided torticollis with a more significant broadening of the SCM, as shown on ultrasound scans, than right-sided torticollis. Theories of torticollis development pathophysiology should be deepened and systematised, and further research is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Congenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis

Płomiński,

Olesińska,

Kamelska-Sadowska

et al. 2023

Healthcare

View full text Add to dashboard Cite

show abstract

“…The term "torticollis" originated from Latin words: Tortum collum, meaning twisted neck. This terminology was first described by Tubby in 1912, as "a deformity, either congenital or acquired, characterized by a lateral inclination of the head to the shoulder, with torsion of the neck and deviation of the face" [2], [3].…”

Section: Introductionmentioning

confidence: 99%

One Step Tenotomy in Congenital Torticollis: A Case Report

Azharuddin

Sitohang

2023

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Congenital muscular torticollis (CMT) is a common pediatric abnormality involving sternocleidomastoid (SCM) muscle. The pathogenesis of CMT has yet to be elucidated, but intrauterine abnormalities seem to be a plausible explanation. This condition, if left untreated, may result in craniofacial asymmetry, neck pain, and limited neck movement. We reported a case of an 11-year-old girl with CMT, which symptoms were first noticed at the age of 4, but were neglected by her parents, the patient was then treated with a complete unipolar SCM release. CASE PRESENTATION: An 11-year-old girl presented with neck stiffness and limited head movement, first noticed at the age of 4, but was neglected. These symptoms worsened within the last few weeks. Physical examination revealed tension and tightness in the left SCM muscle. The patient then underwent complete unipolar release of SCM muscle and proceeded to aggressive physiotherapy for 3 months and put to rigid collar neck for the next 3 weeks. Follow-up was done in the fourth week and a full range of motion (ROM) of the neck was achieved. DISCUSSION: The timing of surgery could yield a good result if performed within 1–4 years of age. However, another literature stated that surgical intervention in the older patient with CMT could still result in better outcomes. Therefore, in this case, we proceeded to perform a complete unipolar release on the left SCM muscle. Post-operative results were satisfying, with significant improvement in neck ROM. CONCLUSION: Surgical approach in adolescents with CMT may still carry a favorable outcome, in terms of better ROM and neck motion. Subsequent physiotherapy and brace placement were crucial to maintaining the results of the surgery.

show abstract

“…An amazing case report was recently published by Kurniawan et al under the title “A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review” [1] . Congenital muscular torticollis refers to a neck deformity that primarily involves a shortened sternocleidomastoid muscle (SCM) resulting in the patient's head turning toward the affected ipsilateral side and the chin pointing contra-laterally [2] .…”

mentioning

confidence: 99%

Comment on “A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review”

Farooq

Zahra

Ashraf

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review

Cited by 4 publications

References 19 publications

Congenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis

Congenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis

One Step Tenotomy in Congenital Torticollis: A Case Report

Comment on “A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review”

Contact Info

Product

Resources

About