Torticollis : Diagnosis and treatment - Children Orthopaedic Care Institute Pravira Hospital - Orthopaedic Hospitals - Book Appointment Online - Orthopaedic Hospitals in Wardha Road, Nagpur

Torticollis ( Congenital Muscular Torticollis )

Torticollis the most common form of congenital painless torticollis is congenital muscular torticollis or wry neck or twisted neck.

Torticollis is a problem involving the muscles of the neck that causes the head to tilt down. The term comes from two Latin words: tortus, which means twisted, and collum, which means neck. Sometimes it’s called “wryneck.”

The deformity is usually obvious at birth or shortly afterward.

The child head is tilted towards the involved fibrotic sternocleidomastoid (SCM) muscle and the chin is rotated towards the contralateral shoulder.

Treatment

Excellent result with massage & a stretching program can be achieved in around 90% of patients if the treatment is initiated immediately after birth.
The exercise should be done gently but with the goal of attaining full passive range of motion-both rotation & tilting as quickly as possible.
If a significant restriction of motion (lacking 30 degree of full rotation or more) orfacial asymmetry persists after the child achieves walking age, surgical intervention must be considered.
Postoperative care of patient who has undergone surgery includes reinstitution of stretching exercises as soon as pain has ablated and the surgical incision have adequately healed.
Postoperative treatment has included the use of all types of braces and cast correction.

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Torticollis ( Congenital Muscular Torticollis )

Treatment

Achievement