The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis

Wang, Lei; Zhang, Lingyan; Tang, Yuanjiao; Qiu, Li

doi:10.1186/1471-2474-13-209

Cited by 17 publications

(8 citation statements)

References 19 publications

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“…This method is characterized by high sensitivity and specificity of 95.83% and 83.33%, respectively. The ultrasonographic findings vary in accordance with different CMT stages [18].…”

Section: Diagnosismentioning

confidence: 80%

Congenital Muscular Torticollis: An Overview

Angoules¹

2013

J Gen Pract

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Congenital Muscular Torticollis (CMT) is a congenital deformity characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion. It is a relatively common infantile deformity associated with typically favourable prognosis when early detected and treated. Although stretching exercises is still the most common treatment, this therapeutic approach should be applied early in younger subjects to be efficient. Surgical intervention is guaranteed before an established craniofacial asymmetry. The purpose of this is to provide an overview of the current therapeutic approaches with additional analysis of their effectiveness.

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“…This method is characterized by high sensitivity and specificity of 95.83% and 83.33%, respectively. The ultrasonographic findings vary in accordance with different CMT stages [18].…”

Section: Diagnosismentioning

confidence: 80%

Congenital Muscular Torticollis: An Overview

Angoules¹

2013

J Gen Pract

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“…Two‐dimensional US has been applied for CMT diagnosis and been used to confirm the differential diagnosis of children's neck masses . Wang et al evaluated the value of high‐frequency and color Doppler US in the diagnosis of CMT. They found that different stages of CMT had different echogenicity characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…Two‐dimensional (2D) ultrasound (US) imaging, conducted with high‐resolution linear array transducers, has been applied in the assessment of tissue fibrosis in musculoskeletal disorders . To date, studies using 2D B‐mode US to assess the severity of fibrosis of the SCM and its relationship with the activity of neck rotation have been conducted by multiple research centers . Although these data revealed a good correlation between 2D B‐mode US and the activity of neck rotation and the degree of fibrosis of the SCM, the use of B‐mode US yielded sensitivity of only 67% to 81% for the detection of neuromuscular disorders in children .…”

mentioning

confidence: 99%

Two‐Dimensional Ultrasound and Shear Wave Elastography in Infants With Late‐Referral Congenital Muscular Torticollis

Zhang

Ban

Jiang

et al. 2019

J of Ultrasound Medicine

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Objectives-To investigate the feasibility of using 2-dimensional ultrasound (US) and shear wave elastography (SWE) to evaluate infants with late-referral congenital muscular torticollis (CMT).Methods-A total of 46 infants with late-referral CMT were enrolled and divided into 4 groups according to the degree of the passive range of motion (PROM) deficit in neck rotation. We introduced 6 metrics to represent the US features of the sternocleidomastoid muscle detected by 2-dimensional US and SWE studies.Results-There were no significant differences in the age at referral, sex, weight, or side of involvement between the 4 groups (P > .05). The thickness and shear modulus of the involved sternocleidomastoid muscle were positively correlated with the degree of the PROM deficit in neck rotation in late-referral infants with CMT (r = 0.71 and 0.82, respectively; P < .01). However, the difference in the shear modulus between adjacent PROM-limited groups of late-referral infants was not as significant as that of early-referral infants.Conclusions-The shear modulus ratio may be one of the best diagnostic indicators of CMT available. However, more effective differential diagnostic SWE indicators late-referral infants with CMT need to be further explored.

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“…Asymmetry and skull deformities are more often seen in adult cases. It can help to define the stage of the disease for a better treatment choice [5]. Magnetic resonance imaging can also be useful by showing fibrosis and muscle atrophy [2].…”

Section: Discussionmentioning

confidence: 99%

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

Moussaoui¹,

Ennouhi²,

Guerrouani³

2015

BJMMR

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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.

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The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis

Cited by 17 publications

References 19 publications

Congenital Muscular Torticollis: An Overview

Congenital Muscular Torticollis: An Overview

Two‐Dimensional Ultrasound and Shear Wave Elastography in Infants With Late‐Referral Congenital Muscular Torticollis

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

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