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Congenital Torticollis

Topic updated on 06/10/17 8:36pm

Introduction
  • Congenital torticollis appearanceDefinition
    • at birth, dystonic head tilt toward affected sternocleidomastoid muscle
  • Epidemiology
    • demographics
      • usually noted in first 3 mo life
      • incidence 0.04% - 2%
  • Etiology
    • uncertain, may be due to birth trauma or intrauterine malposition
Presentation
  • Symptoms
    • tender, moveable mass
    • parents may confuse for neck swelling
  • Physical exam
    • child holds head tilted to one side
    • swelling in affected muscle
Imaging
  • Can include ultrasound to determine content of neck mass 
Prognosis, Prevention, and Complications
  • If left untreated
    • can permanently limit range of neck motion
  • Treatment
    • physical therapy including stretching 
    • second line: botulinum toxin or surgery


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