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A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review

INTRODUCTION: Congenital muscular torticollis (CMT), when left untreated, may result in numerous complications such as eye movement disorder, craniofacial asymmetry, neck pain and compensatory asymmetrical spine curvature that worsens with age. We reported a 9-year-old boy with neglected CMT treated...

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Autores principales: Kurniawan, Aryadi, Canintika, Anissa Feby
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9218824/
https://www.ncbi.nlm.nih.gov/pubmed/35738139
http://dx.doi.org/10.1016/j.ijscr.2022.107298
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author Kurniawan, Aryadi
Canintika, Anissa Feby
author_facet Kurniawan, Aryadi
Canintika, Anissa Feby
author_sort Kurniawan, Aryadi
collection PubMed
description INTRODUCTION: Congenital muscular torticollis (CMT), when left untreated, may result in numerous complications such as eye movement disorder, craniofacial asymmetry, neck pain and compensatory asymmetrical spine curvature that worsens with age. We reported a 9-year-old boy with neglected CMT treated with complete unipolar sternocleidomastoid release. PRESENTATION OF CASE: A 9-year-old boy presented with his head tilted to the left since he was born. Physical examination revealed tense and uptight sternocleidomastoid muscle. The patient then underwent complete unipolar stenocleidomastoid release. Postoperatively, the patient completed 3 months of aggressive physical therapy thrice a week followed by a home exercise regimen once the patient was discharged from therapy. At six months of follow-up, the active range of motion of his neck was markedly improved in all directions, and his cervical spine was noted to be straight. The CMA was also decreased from 14 to 0 degree. DISCUSSION: It is recommended that, in those with CMT, the surgery should be performed between 1 and 4 years of age. However, in our case, the patient was already 9 years old. Nevertheless, he had achieved regained full cervical range of motion, and significant improvement of CMA angle (from 14 to 0 degree postoperatively) after undergoing unipolar sternocleidomastoid release and three months of aggressive physical therapy. CONCLUSION: Surgical intervention followed by aggressive physical therapy for patients with neglected CMT, despite late presentation, may still carry a favourable outcome.
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spelling pubmed-92188242022-06-24 A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review Kurniawan, Aryadi Canintika, Anissa Feby Int J Surg Case Rep Case Report INTRODUCTION: Congenital muscular torticollis (CMT), when left untreated, may result in numerous complications such as eye movement disorder, craniofacial asymmetry, neck pain and compensatory asymmetrical spine curvature that worsens with age. We reported a 9-year-old boy with neglected CMT treated with complete unipolar sternocleidomastoid release. PRESENTATION OF CASE: A 9-year-old boy presented with his head tilted to the left since he was born. Physical examination revealed tense and uptight sternocleidomastoid muscle. The patient then underwent complete unipolar stenocleidomastoid release. Postoperatively, the patient completed 3 months of aggressive physical therapy thrice a week followed by a home exercise regimen once the patient was discharged from therapy. At six months of follow-up, the active range of motion of his neck was markedly improved in all directions, and his cervical spine was noted to be straight. The CMA was also decreased from 14 to 0 degree. DISCUSSION: It is recommended that, in those with CMT, the surgery should be performed between 1 and 4 years of age. However, in our case, the patient was already 9 years old. Nevertheless, he had achieved regained full cervical range of motion, and significant improvement of CMA angle (from 14 to 0 degree postoperatively) after undergoing unipolar sternocleidomastoid release and three months of aggressive physical therapy. CONCLUSION: Surgical intervention followed by aggressive physical therapy for patients with neglected CMT, despite late presentation, may still carry a favourable outcome. Elsevier 2022-06-14 /pmc/articles/PMC9218824/ /pubmed/35738139 http://dx.doi.org/10.1016/j.ijscr.2022.107298 Text en © 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kurniawan, Aryadi
Canintika, Anissa Feby
A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title_full A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title_fullStr A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title_full_unstemmed A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title_short A rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: A case report and literature review
title_sort rare case of 9 years congenital muscular torticollis treated with complete unipolar sternocleidomastoid release: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9218824/
https://www.ncbi.nlm.nih.gov/pubmed/35738139
http://dx.doi.org/10.1016/j.ijscr.2022.107298
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