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Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study
It may be difficult to diagnose congenital osseous torticollis based on physical examinations or plain X-rays, especially when children have no other accompanying congenital defects. This study reports the children with torticollis caused by the vertebral anomaly with the symptom of abnormal head an...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696718/ https://www.ncbi.nlm.nih.gov/pubmed/33202872 http://dx.doi.org/10.3390/children7110227 |
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author | Ryoo, Da-Hye Jang, Dae-Hyun Kim, Da-Ye Kim, Jaewon Lee, Dong-Woo Kang, Ji-Hye |
author_facet | Ryoo, Da-Hye Jang, Dae-Hyun Kim, Da-Ye Kim, Jaewon Lee, Dong-Woo Kang, Ji-Hye |
author_sort | Ryoo, Da-Hye |
collection | PubMed |
description | It may be difficult to diagnose congenital osseous torticollis based on physical examinations or plain X-rays, especially when children have no other accompanying congenital defects. This study reports the children with torticollis caused by the vertebral anomaly with the symptom of abnormal head and neck posture only. We retrospectively reviewed the records of 1015 patients diagnosed with congenital torticollis in a single tertiary hospital (Incheon St. Mary’s Hospital, Korea) who were referred from a primary local clinic. We included those with deficits in passive range of motion (PROM) of neck. Ultrasonography of the sternocleidomastoid (SCM) muscles, ophthalmologic and neurologic examinations, and cervical X-rays were performed for all patients. If bony malalignment was suspected from X-ray, three-dimensional volume-rendered computed tomography (3D-CT) was performed. Ten patients were diagnosed with osseous torticollis with no defect other than bony anomalies. Although X-ray images were acquired for all patients, vertebral anomalies were definitely confirmed in three cases (30.0%) only, and the others (70.0%) were confirmed by CT. The most common type of vertebral anomaly was single-level fusion. Identifying congenital vertebral anomalies is challenging especially when the degree of invasion is only one level. Although abnormal findings on X-rays may be subtle, a careful examination must be performed to avoid misdiagnosis. |
format | Online Article Text |
id | pubmed-7696718 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-76967182020-11-29 Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study Ryoo, Da-Hye Jang, Dae-Hyun Kim, Da-Ye Kim, Jaewon Lee, Dong-Woo Kang, Ji-Hye Children (Basel) Article It may be difficult to diagnose congenital osseous torticollis based on physical examinations or plain X-rays, especially when children have no other accompanying congenital defects. This study reports the children with torticollis caused by the vertebral anomaly with the symptom of abnormal head and neck posture only. We retrospectively reviewed the records of 1015 patients diagnosed with congenital torticollis in a single tertiary hospital (Incheon St. Mary’s Hospital, Korea) who were referred from a primary local clinic. We included those with deficits in passive range of motion (PROM) of neck. Ultrasonography of the sternocleidomastoid (SCM) muscles, ophthalmologic and neurologic examinations, and cervical X-rays were performed for all patients. If bony malalignment was suspected from X-ray, three-dimensional volume-rendered computed tomography (3D-CT) was performed. Ten patients were diagnosed with osseous torticollis with no defect other than bony anomalies. Although X-ray images were acquired for all patients, vertebral anomalies were definitely confirmed in three cases (30.0%) only, and the others (70.0%) were confirmed by CT. The most common type of vertebral anomaly was single-level fusion. Identifying congenital vertebral anomalies is challenging especially when the degree of invasion is only one level. Although abnormal findings on X-rays may be subtle, a careful examination must be performed to avoid misdiagnosis. MDPI 2020-11-13 /pmc/articles/PMC7696718/ /pubmed/33202872 http://dx.doi.org/10.3390/children7110227 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ryoo, Da-Hye Jang, Dae-Hyun Kim, Da-Ye Kim, Jaewon Lee, Dong-Woo Kang, Ji-Hye Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title | Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title_full | Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title_fullStr | Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title_full_unstemmed | Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title_short | Congenital Osseous Torticollis that Mimics Congenital Muscular Torticollis: A Retrospective Observational Study |
title_sort | congenital osseous torticollis that mimics congenital muscular torticollis: a retrospective observational study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696718/ https://www.ncbi.nlm.nih.gov/pubmed/33202872 http://dx.doi.org/10.3390/children7110227 |
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