Tortícolis muscular congénito

Surgical treatment for severe congenital scoliosis

“…The most frequent form is congenital muscular torticollis, due to the involvement of the SCM. (1,2,3) Normally, the diagnosis of congenital torticollis is made by Physical Examination, since the congenital muscular torticollis produces some very striking appearance, consisting of the deformity of the neck, because there is a tilt of the head towards the involved side of the affected SCM, and a rotation of the chin towards the contralateral shoulder (1,2,3,4). Usually, this look is accompanied by a prominence or fibrous cord on the side of the neck, which goes from the proximal insertion of the SCM in the mastoid process to the insertions in the sternum and clavicle (1,2).…”

“…Less important complications are the recurrence of fibrous bands in the clavicular space that can be seen in almost 50% of the patients, but fortunately without functional or aesthetic consequences, and the loss of the SCM muscle relief in the neck, which is observed in almost 80% of the patients (2,3).…”

Effectiveness of the Treatment of Physiotherapy in the Congenital Muscular Torticollis: A Systematic Review

“…Congenital muscular torticollis (CMT) is musculoskeletal disorder ("tortum collum" or wry neck) characterized by a neck deformity that occurs in newborns or during the first months of life [1][2][3]. This deformity is due to a unilateral shortening of the sternocleidomastoid muscle [4,5], which can be caused by the intrauterine position of the head, an intrauterine vascular alteration of the muscle, or obstetric trauma [3] (although the prenatal ischemic episode seems to stand out above the obstetric trauma) [4]. CMT is manifested by a tilt of the neck towards the injured side (ipsilateral latero-flexion) and the head turning in the opposite direction (contralateral rotation) [2,4,6].…”

“…In some cases, a small lump may be observed on the lateral side of the neck, due to muscle fibrosis [1]. In addition, other muscles such as the splenius, the trapezius and the scalene muscles may also be affected [3,4]. Therefore, CMT is a pathology that affects the mobility of the neck of a newborn [1,5,7,8]; likewise, it can be associated with craniofacial deformity and asymmetry [7,8].…”

“…Therefore, CMT is a pathology that affects the mobility of the neck of a newborn [1,5,7,8]; likewise, it can be associated with craniofacial deformity and asymmetry [7,8]. This disorder is the third of the pathologies that most affects the functionality of the children, behind congenital hip dysplasia and congenital clubfoot [4]. Specifically, the reported incidence of CMT ranges from 0.2% to 2% [2,4,9].…”