A Rare Case of Neglected Congenital Muscular Torticollis in an Adult and Review of Literature

Abstract

Aim:We report a rare case of congenital muscular torticollis in an adult and review most of the different treatment approaches reported by authors. Presentation of Case: A 25 year old woman who underwent an unsuccessful surgery for her congenital torticollis in the childhood, presented to our department for the same problem. We performed a unipolar release of the sternocleidomastoid muscle with a large dissection and a resection of a fibrous part of the clavicular head followed by a muscular rehabilitation. Result was satisfactory with an 18 month follow-up. Discussion: Congenital muscular torticollis is rarely seen in adults. There are almost as many treatment protocols for congenital muscular torticollis as authors, with unequal outcomes. Surgical treatments give the best results in adults. We review most of the treatment protocols described in the literature. Case Report Conclusion:As surgeons, we have to deal with every special situation in the aim of respecting the integrity of healthy tissues and providing the best care for good functional and cosmetic outcome.

Reversal of Degenerative Changes in Cervical Spine Following Bipolar Release in a Neglected Case of Congenital Muscular Torticollis: A Case Report

“…This common congenital musculoskeletal anomaly occurs due to the unilateral shortening of the Sternocleidomastoid (SCM) muscle [1]. If diagnosed in a timely fashion, CMT can be managed with full recovery with medical and physical therapies without the necessity for surgery in most cases [2]. Surgical intervention is reserved for patients who fail to respond to non-surgical treatments and those who suffer recurrences following previous treatment [3].…”