scholarly journals A Surgical Treatment for Adult Muscular Torticollis

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Song Ho Chang ◽  
Seiji Ohtori ◽  
Akihiko Okawa ◽  
Koui Kawamura ◽  
Hiroshi Saiki ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Treatment Option ◽  
Male Patient ◽  
Head Tilt ◽  
Sternocleidomastoid Muscle ◽  
Neck Movement ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis ◽  
Adult Presentation

Adult presentation of neglected congenital muscular torticollis (CMT) is rare. Therefore, efficacy of surgical treatment for adult CMT is unclear. We experienced a case of neglected CMT in a 28-year-old male patient and report the surgical result here. We conducted unipolar resection at the distal end of the sternocleidomastoid muscle (SCM). After surgery, the range of neck movement and head tilt improved, and his appearance was cosmetically improved despite the long-standing nature of the deformity. We concluded that surgical management of adult patients with neglected congenital muscular torticollis may be a treatment option.

scholarly journals Surgical management of idiopathic torticollis secondary to a fibrotic band

2012 ◽  
Vol 4 (3) ◽  
pp. 27 ◽  
Author(s):  
Christopher David Jones ◽  
Amir Nakhdjevani ◽  
Surjit Lidder
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Surgical Management ◽  
Contralateral Side ◽  
Sternocleidomastoid Muscle ◽  
Congenital Deformity ◽  
Congenital Muscular Torticollis ◽  
The Third ◽  
Fibrotic Band ◽  
Muscular Torticollis

Congenital muscular torticollis (CMT) is the third commonest congenital deformity, commonly presenting in the first week of life. Due to contracture and shortening of the sternocleidomastoid muscle, the head is tilted towards the affected side; however there may also be a varying degree of rotation towards the contralateral side. Most infants with CMT can be managed non-surgically, however if this is unsuccessful surgery may be necessary, with many different techniques described. In this case report, we describe a 17-year old woman with persistent left sided CMT despite botulinum toxin paralysis that was successfully treated with surgery.

Application of Ultrasonography During Sternocleidomastoid Muscle Release for Congenital Muscular Torticollis

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Hyonmin Choe ◽  
Naomi Kobayashi ◽  
Masatoshi Oba ◽  
Akira Morita ◽  
Koki Abe ◽  
...  
Keyword(s):  
Sternocleidomastoid Muscle ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

scholarly journals Management of congential muscular toticollis under one year of age

2012 ◽  
Vol 1 (2) ◽  
pp. 2-5
Author(s):  
Abdul Matin ◽  
Md Rafiqul Islam ◽  
Ranjit Ranjan Roy ◽  
Bijoy Krishna Das ◽  
Sudesh Chandra Rakshit ◽  
...  
Keyword(s):  
Head And Neck ◽  
Sternocleidomastoid Muscle ◽  
Medical College Hospital ◽  
College Hospital ◽  
Congenital Muscular Torticollis ◽  
Medical College ◽  
One Year ◽  
Neonates And Infants ◽  
Muscular Torticollis ◽  
Postural Deformity

Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM), In neonates and infants, patient may cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. Here we show our experience regarding management of congenital muscular torticollis with physiotherapy. Patients and Methods: This is an observational descriptive study. Verbal consent from parents was taken. Patients of congenital muscular torticollis with other disease or other congenital anomaly were excluded from study. Twenty patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women's Medical College Hospital, Shaheed Shurawardy Medical College Hospital. Neonates and infants were treated conservatively with physiotherapy and non responsive cases were referred for surgery. Results: Patients age range from 5 days to 1 year of which eleven were females and nine were males. Sternocleidomastoid muscle (SCM) was shortened in all cases (12 on right side and 8 on left side). Of 20 patients 6 neonates, rest 14 infants within 1 year age. Out of 20 neonates and infants 17 were cured conservatively with physiotherapy and rest 3 were referred for surgery. Conclusion: Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12157 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.2-5

scholarly journals Results of Minimally Invasive Bipolar Tenotomy of Congenital Muscular Torticollis

2019 ◽  
Vol 60 (01) ◽  
pp. 016-020
Author(s):  
Ramji Sahu
Keyword(s):  
Postoperative Complications ◽  
Orthopedic Surgery ◽  
Head Tilt ◽  
Good Method ◽  
Range Of Movement ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis ◽  
Postural Deformity ◽  
Difficult Cases

Background Congenital muscular torticollis is the postural deformity of the head and of the neck. The purpose of the present study is to evaluate the results of bipolar sternocleidomastoid (SCM) muscle tenotomy in children. Methods The present prospective study was conducted at the Department of Orthopedic Surgery from December 2010 to December 2014. A total of 34 children with congenital muscular torticollis and a mean age of 4.8 years (range: 1–14 years) were recruited from the Outpatient Department. They were treated with bipolar SCM muscle release under general anesthesia. The functional and cosmetic results were rated on a scoring system modified from Lim et al (2014). All of the children were followed-up for 2 years. Results At the final follow-up, the neck range of movement and head tilt improved and their appearance were cosmetically improved despite the long-standing nature of the deformity. The results were excellent in 30 patients (88.23%) and good in 4 patients (11.76%). No postoperative complications were found in any of the 34 patients. Conclusion Bipolar tenotomy of the SCM muscle is a good method for correcting difficult cases of congenital muscular torticollis. It is a safe, effective and complication-free method for these patients.

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