medigraphic.com
ISSN 1561-3038 (Print)

2019, Number 4

<< Back Next >>

Rev Cubana Med Gen Integr 2019; 35 (4)

Some clinical and imaging features of congenital muscular torticollis in children aged under two years

Hernández DPA, Macías LEA, Díaz TD, Arias GM, Rosell DM

Language: Spanish
References: 12
Page: 1-11
PDF size: 153.03 Kb.


ABSTRACT

Introduction: Once established, dentofacial sequels of congenital torticollis can only be healed by surgery. Early identification of sufferers and timely treatment are indispensable to achieve a favorable long-term evolution.
Objective: Identify potentially useful factors from the perspective of fundamental prevention of congenital torticollis.
Methods: An observational longitudinal prospective study was conducted of patients diagnosed with congenital muscular torticollis attending the Secondary Care Polyclinic at the South Children's Hospital in Santiago de Cuba from September 2016 to September 2018. The sample was 20 patients diagnosed with the disease. The variables analyzed were grouped into clinical and imaging.
Results: There was a predominance of male patients with 14 cases (70%). Diagnosis of most cases was performed early: 3 (15%) at the neonatal stage and 14 (70%) between 29 days and 6 months. The most feared complications, such as facial asymmetry, plagiocephalic deformity, and orbital and auricular dystopia, were mainly found to be associated to late diagnosis and treatment. Computed axial tomography only surpassed radiography in spotting neurological complications.
Conclusions: Early care is the best therapeutic option to prevent complications in children with congenital muscular torticollis.


REFERENCES

  1. Carlos Abril J, Bonilla P, Miranda C. Tortícolis muscular congénita. Temas de formación continua. Pediatría Integral. España. 2014 [acceso: 10/11/2018];18(6):13-4. Disponible en: https://www.pediatriaintegral.es/publicacion-2014-07/problemas-ortopedicos-en-el-recien-nacido/

  2. Cueto Blanco S, Pipa Vallejo A, González García M, Pipa Muñiz M, Pipa Muñiz C. Asimetrías faciales y maloclusiones en pacientes con tortícolis muscular congénita: una revisión sistemática. Avances en Periodoncia. 2015 [acceso: 10/11/2018];27(1):11-8. Disponible en: http://dx.doi.org/10.4321/S1699-65852015000100002

  3. Shin-Young Y, Dukyong Y, Myong Chul P, Jae L, Jang-Hee K, Myung - Ae L, et al. Integrative analysis of congenital muscular torticollis: from gene expression to clinical significance. BMC Medical Genomics. 2013;6(2):2-13.

  4. Jawadi AH. Clubfoot and congenital muscular torticollis prevalence in children diagnosed with developmental dysplasia of hip: review of 594 DDH patients. Rev. Pediatr. Ther. 2016 [acceso: 15/11/2018];6(2):2-4. Disponible en: http://dx.doi.org/10.4172/2161-0665.1000288

  5. Prabhu S, Faisal Al Abdulla A, Ramadan Abdulmaaboud M. Right Sided Pseudotumor Sternocleidomastoid with Left Clavicle Fracture. Int J Appl Basic Med Res. 2018 [acceso: 18/11/2018];8(2):120-1. Disponible en: http://dx.doi.org/10.4103/ijabmr.IJABMR_164_17

  6. Pérez M, Ortega X, Lillo S, Moenne K, Escaffi JA, Pérez C. Tortícolis en la edad pediátrica: Revisión pictográfica. Rev. chil. radiol. 2013 [acceso: 10/11/2018];19(3):125-33. Disponible en: http://dx.doi.org/10.4067/S0717-930820130003000

  7. González Maza M, Rodríguez Reyes ME. Protocolo de rehabilitación en el paciente con tortícolis muscular congénita. Revista Cubana de Medicina Física y Rehabilitación. 2013;5(2):153-65

  8. Jong Woo K, Seung Hyun K, Shin-Young Y. Quantitative analysis of magnetic resonance imaging of the neck and its usefullness in management of congenital muscular torticollis. Ann. Rehabil. Med. 2015 [acceso: 10/11/2018];39(2):294-302. Disponible en: https://doi.org/10.5535/arm.2015.39.2.294

  9. Jin-Youn L, Seong-Eun K, In-Sik L, Heeyoune J, Jongmin L, Jung-II K, et al. The cervical range of motion as a factor affecting outcome in patients with congenital muscular torticollis. Ann. Rehabil. Med. 2013 [acceso: 20/11/2018];37(2):183-90. Disponible en: http://dx.doi.org/10.5535/arm.2013.37.2.183

  10. Villegas Alzate FJ, Cuadros serrano CA. Tortícolis muscular congénita: punto de vista del cirujano plástico. cir. plást. iberolatinoam. 2014 [acceso: 20/11/2018];40(1):43-54. Disponible en: http://dx.doi.org/10.4321/S0376-78922014000100007

  11. Tonkaboni A, Mirzashahi B. Neglected adult torticollis and maxillofacial deformity. Orthopaedic Surgery and Traumatology. 2018 [acceso: 22/11/2018];2(3):1-7. Disponible en: https://scientiaricerca.com/srortr/SRORTR-02-000056.php

  12. Joiner ERA, Andras LM, Skaggs DL. J Child Orthop. 2014 [acceso: 20/11/2018];8(2):115-9. Disponible en: http://dx.doi.org/10.1007/s11832-014-0572-5




2020     |     www.medigraphic.com