Factors Correlating Outcome in Young Infants With Congenital Muscular Torticollis

Ji Hwa Ryu1, Dong Wook Kim2, Seung Ho Kim1

  • 1Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.

Insights

Physiotherapy significantly improves the resolution of congenital muscular torticollis in infants. This study found that infants receiving physiotherapy had a higher success rate for congenital muscular torticollis regression compared to those who did not.

Area of Science:

  • Pediatric Orthopedics
  • Diagnostic Imaging

Background:

  • Congenital muscular torticollis (CMT) is a common musculoskeletal disorder in infants.
  • Early diagnosis and intervention are crucial for optimal outcomes.

Purpose of the Study:

  • To evaluate clinical and sonographic factors influencing the regression of CMT in infants.
  • To identify predictors of successful treatment outcomes using follow-up ultrasonography.

Main Methods:

  • Prospective study of 80 infants with suspected CMT from 2010-2012.
  • Neck ultrasonography was performed for diagnosis and follow-up.
  • Statistical analysis correlated clinicosonographic findings with complete resolution.

Main Results:

  • Of 61 infants diagnosed with CMT, 34 received physiotherapy and 27 did not.
  • Complete resolution was observed in 79.4% of infants who underwent physiotherapy versus 55.6% who did not.
  • Physiotherapy showed a statistically significant correlation with complete resolution.

Conclusions:

  • Physiotherapy is the sole identified factor influencing the successful regression of CMT in infants.
  • Sonographic features like lesion size, volume, echogenicity, and thickness ratio did not correlate with resolution.
Abstract

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