Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Ryoo, Da-Hye, Jang, Dae-Hyun, Kim, Da-Ye, Kim, Jaewon, Lee, Dong-Woo, Kang, Ji-Hye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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
_version_ 1783615468086493184
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
work_keys_str_mv AT ryoodahye congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy
AT jangdaehyun congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy
AT kimdaye congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy
AT kimjaewon congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy
AT leedongwoo congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy
AT kangjihye congenitalosseoustorticollisthatmimicscongenitalmusculartorticollisaretrospectiveobservationalstudy