Congenital Muscular Torticollis: Is Heredity a Possible Factor in a Family with Five Torticollis Patients in Three Generations?

Abstract

Although the clinical features of congenital muscular torticollis are well known, the cause of this disorder still remains hypothetical. The role of heredity is not well established, because there have been only a few studies on it. We presented a family in which five members suffer from CMT in three generations, two of whom were operated on. According to the pattern in the pedigree, probably an autosomal dominant condition could be considered.

Complete tight fibrous band release and resection in congenital muscular torticollis

“…4,17 Bipolar release is normally used in older children with a severe deformity without loss of neck column, but leaves two incision scars and may cause nerve injury. 11,17,19 Z-lengthening can preserve the neckline, but it is difficult to estimate the extent of lengthening intra-operatively. 20 Recently, to hide incision scars, an endoscopic technique through an incision placed within the hair-bearing scalp at the level of the superior helical rim or anterior axillary line was introduced.…”

Endoscopic-Assisted Surgical Correction for Congenital Muscular Torticollis

“…They consider enough growth of neck structures. 1 Some have concluded that the optimal age for surgery is between 1 and 4 years, 13 and Coventry and Harris reported that surgery produces good results in patients even up to 12 years. 14 In this study, most patients were older than 1 year.…”

Surgical revision of congenital muscular torticollis in an adult male with established facial asymmetry

“…In view of cases of familial CMT involving siblings or spread over several generations, it has been suggested that hereditary factors might be involved, possibly more often than suspected, an autosomal dominant pattern being hypothesised [3,6,7]. Intrauterine malposition has also been proposed as a possible cause of muscular torticollis.…”

“…There is limited range of motion in the neck muscles [1][2][3]. The etiology of this disease is not clear.…”