Dataset Information

Neglected congenital muscular torticollis: A case report.

ABSTRACT:

Introduction

Congenital muscular torticollis (CMT) is identified as a thickening and/or stiffening of one side of the sternocleidomastoid muscle (SCM) due to muscle fibrosis. This condition results in shortening of SCM and constricted neck motion.

Case presentation

A four-year-old girl came with neck muscle stiffness, tilted head to the left, and chin facing to the right presenting since birth. She was diagnosed with CMT at birth. The patient was born via spontaneous vacuum-assisted vaginal delivery. At three years old, the patient did brief conservative treatment. This patient was planned for unilateral sternocleidomastoid muscle release via bipolar tenotomy. Twelve months after the surgery, there were no complications or recurrence observed.

Discussion

The etiology of CMT remains unknown to date, but recent studies suggest that early treatment of CMT produce better prognosis. The initial treatment for CMT is regular muscle stretching (physiotherapy), as well as education to the child's caregivers about the environmental changes and the child's posture. If the initial attempt fails, surgical intervention is needed.

Conclusion

Early detection and early physiotherapy treatment will lead to minimize the risk of surgery. However, for cases that fail conservative therapy or neglected cases, it is recommended to carry out operative therapy to improve quality of life later.

SUBMITTER: Abubakar I

PROVIDER: S-EPMC9577961 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Neglected congenital muscular torticollis: A case report.

Abubakar Irsan I Saputra Oji Z OZ Novera Diaz D

Annals of medicine and surgery (2012) 20220929

<h4>Introduction</h4>Congenital muscular torticollis (CMT) is identified as a thickening and/or stiffening of one side of the sternocleidomastoid muscle (SCM) due to muscle fibrosis. This condition results in shortening of SCM and constricted neck motion.<h4>Case presentation</h4>A four-year-old girl came with neck muscle stiffness, tilted head to the left, and chin facing to the right presenting since birth. She was diagnosed with CMT at birth. The patient was born via spontaneous vacuum-assist ...[more]

PMID: 36268439

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Project description:BackgroundCongenital Muscular Torticollis (CMT) is the third most common musculoskeletal condition in infancy, and if untreated can lead to significant disability. While a range of conservative treatments are commonly used in the management of CMT, an understanding of their efficacy and safety is limited. This systematic review and meta-analysis, without language or discipline restriction, was conducted to address this knowledge gap.MethodsElectronic searches of CENTRAL, PubMed, 22 other electronic databases, three trials registers and Google Scholar, were conducted for randomised controlled trials, which examined any non-surgical, non-pharmacological interventions, including but not limited to manual treatments, movement therapy, acupuncture, adjunctive therapies and physical support, in children aged 0 to 5 years with CMT. Two reviewers independently assessed the risk of bias of the included studies using the Cochrane Risk of bias 1 tool, rated their certainty of evidence using grading of recommendations assessment, development and evaluation (GRADE) framework, and performed random-effects meta-analyses.ResultsOne hundred studies (80 from China) involving 8125 participants published between 1990 and 2023 were included. Adding manual therapy to an active control resulted in short-term improvements in passive cervical rotation (odds ratio (OR) 9.79, 95%CI 4.26,22.50), passive cervical lateroflexion (OR 2.66, 95%CI 1.17,6.04), active cervical rotation (OR 3.94, 95%CI 1.08,14.35), symmetric head posture (OR 4.55, 95%CI 2.57,8.05), sternocleidomastoid tumour thickness (mean difference (MD) -2.12 mm, 95%CI -2.98,-1.26) and development of symmetrical movement (standardised MD -0.70, 95%CI -0.95,-0.45). The addition of an electrophysical agent to an active control reduced sternocleidomastoid tumour thickness (MD -2.03 mm, 95%CI -2.67,-1.39) and optimised Tuina reduced tumour thickness more than traditional Tuina (MD -1.20 mm, 95%CI -1.80,-0.59). Adverse events were uncommon but poorly reported, with 71 (71%) of studies providing no data. Study heterogeneity limited pooling of data for meta-analysis, and there was very low to low certainty evidence for all results, due to high risk of bias, small sample sizes and study heterogeneity.ConclusionsThis review found that non-surgical, non-pharmacological treatments may be effective for CMT, but the certainty of evidence is very low to low. These findings are important in informing clinical guidelines and management for CMT and highlight an urgent need for large definitive trials that address the limitations of current studies.Protocol registrationCochrane Database of Systematic Reviews (No.: CD012987).

Dataset Information

Neglected congenital muscular torticollis: A case report.

Introduction

Case presentation

Discussion

Conclusion

Publications

Neglected congenital muscular torticollis: A case report.

Similar Datasets

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