Congenital torticollis: Difference between revisions
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Congenital torticollis or [http://www.physio-pedia.com/Adult-onset_Idiopathic_Torticollis wry neck] is a condition in infants detected at birth or shortly after<ref>Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)</ref>. It is characterized by rotational deformity of the cervical spine with secondary tilting of the head <ref>Haque S., et al. Imaging of Torticollis in Children. RadioGraphics. 2012;32(2): 558-571 (Level of Evidence 2)</ref><ref>Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 fckLR(Level of Evidence 2)</ref>. There is a lateral head tilt to one side and contralateral rotation<ref>Lee Y., et al. Risk factors for interuterine constraint are associated with ultrasonographically detected severe fibrosis in early congenital muscular torticollis. Journal of Pediatric Surgery. 2011; 46: 514-519 (Level of Evidence 2)</ref><ref>Petronic I., et al. Congenital muscular torticollis in children: distribution, treatment duration and outcome. European Journal of Physical and Rehabilitation Medicine. 2010; 45(2): 153-158 (Level of Evidence 2)</ref>. It is most commonly the result of unilateral shortening and thickening or excessive contraction of the sternocleidomastoid muscle <ref>Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)</ref> <ref>Öhman A., et al. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiotherapy Theory and Practice. 2011; 27(7): 463-470 (Level of Evidence 2)</ref> <ref>Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)</ref>. The basic abnormality is known as endomysial fibrosis with deposition of collagen and migration of fibroblasts around individual muscle fibers<ref>Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)</ref><ref>Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)</ref>. It leads to a limitation of the head mobility in both rotation and lateral flexion and progressive degrees of neck contracture<ref>Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)</ref><ref>Öhman A., et al. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiotherapy Theory and Practice. 2011; 27(7): 463-470 (Level of Evidence 2)</ref>. <br> | |||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
Revision as of 07:58, 19 June 2013
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Definition/Description
Congenital torticollis or wry neck is a condition in infants detected at birth or shortly after[1]. It is characterized by rotational deformity of the cervical spine with secondary tilting of the head [2][3]. There is a lateral head tilt to one side and contralateral rotation[4][5]. It is most commonly the result of unilateral shortening and thickening or excessive contraction of the sternocleidomastoid muscle [6] [7] [8]. The basic abnormality is known as endomysial fibrosis with deposition of collagen and migration of fibroblasts around individual muscle fibers[9][10]. It leads to a limitation of the head mobility in both rotation and lateral flexion and progressive degrees of neck contracture[11][12].
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- ↑ Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)
- ↑ Haque S., et al. Imaging of Torticollis in Children. RadioGraphics. 2012;32(2): 558-571 (Level of Evidence 2)
- ↑ Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 fckLR(Level of Evidence 2)
- ↑ Lee Y., et al. Risk factors for interuterine constraint are associated with ultrasonographically detected severe fibrosis in early congenital muscular torticollis. Journal of Pediatric Surgery. 2011; 46: 514-519 (Level of Evidence 2)
- ↑ Petronic I., et al. Congenital muscular torticollis in children: distribution, treatment duration and outcome. European Journal of Physical and Rehabilitation Medicine. 2010; 45(2): 153-158 (Level of Evidence 2)
- ↑ Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)
- ↑ Öhman A., et al. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiotherapy Theory and Practice. 2011; 27(7): 463-470 (Level of Evidence 2)
- ↑ Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)
- ↑ Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)
- ↑ Tatli B., et al. Congenital muscular torticollis: evaluation and classification. Pediatric Neurology. 2006;34: 41-44 (Level of Evidence 2)
- ↑ Lee Y., et al. Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study. Journal of Pediatric Surgery. 2011; 46: 1526-1531 (Level of Evidence 2)
- ↑ Öhman A., et al. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiotherapy Theory and Practice. 2011; 27(7): 463-470 (Level of Evidence 2)
