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SAS Journal of Surgery | Volume-4 | Issue-10
Congenital Muscular Torticollis: About A Case with Review of the Literature
M. Ben-Aissi, M. Kadiri, M. Beqqali-Hassani, A. Amrani, Ma. Dendane, Z. El Alami, T. El Madhi, M. Kharmaz, Mo. Lamrani, A. El Bardouni, M. Mahfoud, Ms. Berrada
Published: Oct. 30, 2018 |
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126
DOI: 10.21276/sasjs.2018.4.10.5
Pages: 201-203
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Abstract
Congenital muscular torticollis is the third neonatal deformity in terms of
frequency after hip dysplasia and equinovarus foot. It is defined as an asymmetrical and
permanent attitude of the head and neck in relation to the plane of the shoulders. It is
due to unilateral retraction of the sternocleidomastoid muscle. Congenital torticollis is a
newborn disease whose spontaneous evolution is favorable in more than 80% of cases.
Its persistence beyond 4 years is rare. We present the case of a 4-year-old child who
presented congenital muscle stiffness since birth with no plagiocephaly or other
associated malformation. Physiotherapy aimed at muscle stretching was continued for 3
months, but in the absence of improvement, surgical release of the sternocleidomastoid
muscle by unipolar tenotomy was performed