19. Congenital torticollis (wry neck)

From greek.doctor
  • 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