| Infantile torticollis: a review of 624 cases. | |
| | |
MedLine Citation:
|
PMID: 7814599 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We reviewed 624 cases of infantile torticollis in one centre over a period of 7 years. The incidence of torticollis was found to be 1.3% in Chinese children. Boy-to-girl ratio was 3:2. Obstetric histories of the mothers showed a total of 62.2% with difficult labour, breech deliveries, or caesarean section, and 6.04% had associated congenital anomalies. Of all the cases, 27.88% were found to be postural, 35.4% had torticollis that presented with sternomastoid tumor, and 36.7% presented with muscular torticollis alone. When limitation of neck range was considered, 36.7% had a passive rotation deficit > 15 degrees. In patients presenting in the early stages, 97% of all infantile torticollis cases resolved with conservative treatment, active stimulation, and a passive stretching program. For those responding to treatment, the mean treatment period was < 6 months for varying degrees of neck rotational deficit. Patients with cord-like muscular torticollis and a rotational > 30 degrees were more likely to need surgery. Presence of sternomastoid tumor alone was not found to increase the likelihood of surgery. Musculoskeletal sequelae after torticollis had resolved included intermittent head tilt and persistence of mild craniofacial asymmetry. We recommend continuous follow-up in cases of infantile torticollis, particularly in patients with progression of sternomastoid tumor to muscular torticollis. |
| | |
Authors:
|
J C Cheng; A W Au |
Related Documents
:
|
18704689 - Recurrent pituitary ependymoma: a complex clinical problem. 487869 - The so-called ectopic pinealomas. a cooperative study of 15 cases. 15172309 - Resection of primary pleural pedunculate hemangiopericytoma. 8645939 - Carcinoid tumor of the gallbladder: report of a case. 18958769 - A steroid-cell tumor of the ovary resulting in massive androgen excess early in the gon... 20509109 - [an interesting case: recovery of a transmurally penetrated abdominal pad by the means ... 15928449 - Candida tropicalis causing prosthetic valve endocarditis. 12654389 - Unilateral lisch nodules in the absence of other features of neurofibromatosis 1. 5057959 - North american blastomycosis in central canada. a review of 36 cases. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of pediatric orthopedics Volume: 14 ISSN: 0271-6798 ISO Abbreviation: J Pediatr Orthop Publication Date: 1994 Nov-Dec |
Date Detail:
|
Created Date: 1995-02-09 Completed Date: 1995-02-09 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 802-8 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedics and Traumatology, Faculty of Medicine, Chinese University of Hong Kong. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abnormalities, Multiple Adult Braces Delivery, Obstetric / methods Female Hip Dislocation, Congenital / complications Humans Infant Labor Presentation Male Physical Therapy Modalities / methods Pregnancy Range of Motion, Articular Retrospective Studies Torticollis / physiopathology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Postoperative fever in pediatric orthopaedic patients.
Next Document: Prostaglandin-induced neonatal periostitis.