Document Detail

Infantile torticollis: a review of 624 cases.
MedLine Citation:
PMID:  7814599     Owner:  NLM     Status:  MEDLINE    
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.
J C Cheng; A W Au
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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    
Department of Orthopaedics and Traumatology, Faculty of Medicine, Chinese University of Hong Kong.
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MeSH Terms
Abnormalities, Multiple
Delivery, Obstetric / methods
Hip Dislocation, Congenital / complications
Labor Presentation
Physical Therapy Modalities / methods
Range of Motion, Articular
Retrospective Studies
Torticollis / physiopathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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