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Published on: December 15, 2014
Surgery for neglected congenital torticollis
Acta Orthopaedica Scandinavica
|June 1, 1987
Summary
Surgical treatment for congenital muscular torticollis in children over one year old yielded positive outcomes. Tenotomy was effective for younger children (under 5), while sternocleidomastoid muscle resection suited older patients.
Area of Science:
- Pediatric Surgery
- Orthopedics
- Developmental Pediatrics
Background:
- Congenital muscular torticollis is a common condition in infants.
- Delayed diagnosis and treatment can lead to persistent deformity.
- Surgical intervention is considered for cases unresponsive to conservative management.
Purpose of the Study:
- To evaluate the efficacy of different surgical techniques for congenital muscular torticollis in patients over one year of age.
- To compare outcomes between tenotomy and sternocleidomastoid muscle resection based on patient age.
Main Methods:
- Retrospective review of 19 patients operated for congenital muscular torticollis after 1 year of age.
- Surgical procedures included tenotomy and sternocleidomastoid muscle resection.
- Outcomes were assessed based on clinical improvement and patient age at the time of surgery.
Main Results:
- Tenotomy demonstrated good results in patients younger than 5 years old.
- Resection of the sternocleidomastoid muscle provided satisfactory outcomes for older children.
- Both surgical approaches showed effectiveness depending on the age group.
Conclusions:
- Age is a critical factor in determining the optimal surgical approach for congenital muscular torticollis.
- Tenotomy is a viable option for younger children (under 5) with torticollis.
- Sternocleidomastoid muscle resection is effective for older children requiring surgical correction.
