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Published on: June 30, 2021
[Surgical treatment of congenital muscular torticollis]
Milena M Ploeger1, Christoph Trillhaase2, Charlotte Rommelspacher2
1Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. milena.ploeger@ukbonn.de.
Objective:
Surgical treatment of congenital muscular torticollis with tripolar release of the sternocleidomastoid muscle, followed by modified postoperative treatment with a special orthosis.
Indications:
Muscular torticollis due to contracture of the sternocleidomastoid muscle; failure of conservative therapy.
Contraindications:
Torticollis due to bony anomaly or other muscular contractures.
Surgical Technique:
Tenotomy of the sternocleidomastoid muscle occipitally and resection of at least 1 cm of the tendon at the sternal and clavicular origin.
Postoperative Management:
Orthosis must be worn for 6 weeks 24 h/day, then for another 6 weeks 12 h/day.
Results:
A total of 13 patients were treated with tripolar release of the sternocleidomastoid muscle and modified postoperative management. Average follow-up time was 25.7 months. One patient presented with recurrence after 3 years. No intra- or postoperative complications were observed.
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