19. Congenital torticollis (wry neck)

• Congenital muscular torticollis, also called wry neck, is a deformity causing the neck of the newborn to be stiff and the head to be turned or tilted to one side due to fibrotic and/or hypertrophic sternocleidomastoid
• 3rd most common congenital musculoskeletal disorder (after DDH and clubfoot)
• Clinical features
  • Tilted and rotated head
  • Limited range of motion
  • Prominent and tense sternocleidomastoid
• Treatment
  • Conservative
    • Physiotherapy
    • Stretching of SCM
  • Surgery
    • At 1 – 2 years if conservative was insufficient