Longitudinal Followup Study of Ultrasonography in Congenital Muscular Torticollis

  title={Longitudinal Followup Study of Ultrasonography in Congenital Muscular Torticollis},
  author={Simon F. T. Tang and K H Hsu and Alice M. K. Wong and Chih-Chin Hsu and Chia-Hsieh Chang},
  journal={Clinical Orthopaedics and Related Research},
High-resolution ultrasonography was used to examine affected sternocleidomastoid muscles in patients with congenital muscular torticollis at different times. Thirty-one female and 42 male patients were recruited and classified as having one of four types of fibrosis based on the sonograms. Compared with initial assessment, 22 (95.6%) patients with Type I fibrosis and 22 (57.9%) patients with Type II fibrosis had a change in classification at the end of the study. Among the patients with Type I… Expand

Paper Mentions

Observational Clinical Trial
Torticollis is a clinical sign or symptom that could be the result of a variety of underlying disorders. Among the etiologies, Congenital muscular torticollis (CMT) with impairment of… Expand
ConditionsTorticollis Congenital, Wryneck
Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study.
In young infants with CMT, US can document severity; and an early and adequate physiotherapy is a good treatment option, particularly even in those with severe fibrosis. Expand
Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis
Echotexture is an efficient indicator for reflecting a wide degree of muscle fibrosis in infants with CMT and is informative during the treatment course. Expand
Correlations between the Clinical and Ultrasonographic Parameters of Congenital Muscular Torticollis without a Sternocleidomastoid Mass
Objective To determine whether ultrasonography at initial presentation can help assess the clinical severity of congenital muscular torticollis (CMT) in infants without a sternocleidomastoid muscleExpand
Congenital Muscular Torticollis in Infants: Ultrasound-Assisted Diagnosis and Evaluation
Twenty-six infants, 14 boys and 12 girls, age ranging from 1 to 16 weeks, with torticollis and a palpable mass were examined, and ultrasound showed a well-defined mass in the sternocleidomastoid muscle. Expand
Assessment of Follow-Up Sonography and Clinical Improvement among Infants with Congenital Muscular Torticollis
Measurement of the SCM thickness ratio appears to overcome the problem of a false-positive diagnosis of clinical aggravation of CMT resulting from physiologic growth. Expand
The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis
Different stage of CMT patients had different sonographic characteristics, suggesting high-frequency and color Doppler ultrasonography can serve as adjunct confirmation tool for the diagnosis of C MT. Expand
Sternocleidomastoid ultrasonography data for muscular torticollis in infants
Distinguishing the heads of the SCM muscle and comparing the thickness of the same head on both sides using US may be helpful for evaluating torticollis in infants. Expand
The Thickness of the Sternocleidomastoid Muscle as a Prognostic Factor for Congenital Muscular Torticollis
Children with a thicker SCM seem to require a longer duration of stretching exercise and other therapeutic interventions in addition to stretching exercise for CMT, suggesting that the thickness of the SCM may be one prognostic factor forCMT treatment. Expand
Risk factors for intrauterine constraint are associated with ultrasonographically detected severe fibrosis in early congenital muscular torticollis.
Risk factors for intrauterine constraint appear to be associated with ultrasonographically detected severe fibrosis involving the entire SCM muscle in early presenting CMT. Expand
Clinical characteristics and courses of congenital muscular torticollis
CMT was associated with perinatal problems and had various risk factors such as obstetrical problems, and all the patients received early treatment with passive stretching exercises. Expand


Correlation of clinical and ultrasonographic features in congenital muscular torticollis.
Ulasonography can precisely identify pathologic changes in the involved sternocleidomastoid muscle of CMT patients and type III and IV patients are more likely to require surgical intervention. Expand
Ultrasonographic study of the sternocleidomastoid muscle in the management of congenital muscular torticollis.
Ulasonographic study of the SCMM is not only a valuable diagnostic tool but can also serve as a useful guideline for the treatment of infants who have congenital muscular torticollis. Expand
Infantile torticollis: a review of 624 cases.
Musculoskeletal sequelae after torticollis had resolved included intermittent head tilt and persistence of mild craniofacial asymmetry and continuous follow-up in cases of infantile torticollsis, particularly in patients with progression of sternomastoid tumor to muscular tortiollis. Expand
Congenital muscular torticollis. A spectrum of disease.
Sternocleidomastoid muscle fibrosis has been recognized for centuries, but its pathogenesis and treatment remains controversial. Pseudotumor of infancy is a firm fibrous mass in theExpand
Congenital muscular torticollis. A long-term follow-up.
Children with torticollis who were treated during the first year of life had better results than those treated later, and an exercise program was more likely to be successful when the restriction of motion was less than 30 degrees and there was no facial asymmetry or the facial asymmetric was noted only by the examiner. Expand
Congenital muscular torticollis: computed tomographic observations.
The classic presentation of congenital muscular torticollis is easily recognized when present, and the clinical findings include head tilt with the chin rotated, a tight sternocleidomastoid muscle, a restricted range of motion, facial asymmetry, and plagiocephaly. Expand
Congenital Muscular Torticollis: Magnetic Resonance Imaging and Ultrasound Diagnosis
  • R. Entel, F. Carolan
  • Medicine
  • Journal of neuroimaging : official journal of the American Society of Neuroimaging
  • 1997
The magnetic resonance imaging (MRI) and sonographic appearances of congenital muscular torticollis were studied in a 6‐week‐old female infant who presented with a firm mass in the rightExpand
Ultrasonographic Imaging of Sternocleidomastoid Tumor of Infancy
A 6-week-old male infant presented with a 4-week history of a nontender right neck mass that was associated with torticollis and flexion of the neck to the right and slight rotation ofthe chin to theExpand
Sonography of neck masses in children.
The sonograms and medical records of 49 patients were reviewed to determine if there is a characteristic sonographic appearance for certain neck masses, and the presence of calcification highly suggests a neoplastic lesion, particularly neuroblastoma or teratoma. Expand
Congenital muscular torticollis in infancy; some observations regarding treatment.
This study of congenital muscular torticollis in infancy is continuing and the tumor in the sternocleidomastoid muscle was discovered at an average age of 3.5 weeks and disappeared at anaverage age of three and one-half months. Expand