Congenital torticollis: Difference between revisions

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<span style="font-size: 20px; line-height: 1.5em;">Definition/Description</span>
<span style="font-size: 20px; line-height: 1.5em;">Definition/Description</span>  


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>
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 name="4">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 name="1">Haque S., et al. Imaging of Torticollis in Children. RadioGraphics. 2012;32(2): 558-571 (Level of Evidence 2)</ref><ref name="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)</ref>. There is a lateral head tilt to one side and contralateral rotation<ref name="5">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 name="2" /><ref name="3">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 name="4" />. The basic abnormality is known as endomysial fibrosis with deposition of collagen and migration of fibroblasts around individual muscle fibers<ref name="2" /> <ref name="4" />. It leads to a limitation of the head mobility in both rotation and lateral flexion and progressive degrees of neck contracture<ref name="2" /><ref name="3" />. <br>


== Clinically Relevant Anatomy  ==
== Clinically Relevant Anatomy  ==

Revision as of 08:07, 19 June 2013

 

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Definition/Description

Congenital torticollis or wry neck is a condition in infants detected at birth or shortly afterCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. It is characterized by rotational deformity of the cervical spine with secondary tilting of the head Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. There is a lateral head tilt to one side and contralateral rotationCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title[1]. It is most commonly the result of unilateral shortening and thickening or excessive contraction of the sternocleidomastoid muscle Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. The basic abnormality is known as endomysial fibrosis with deposition of collagen and migration of fibroblasts around individual muscle fibersCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. It leads to a limitation of the head mobility in both rotation and lateral flexion and progressive degrees of neck contractureCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.

Clinically Relevant Anatomy[edit | edit source]

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  1. 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)