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Paediatrics
intermediate
X-Type

Torticollis - Congenital Muscular and Management

Torticollis

A 6-week-old female infant is referred by her paediatrician for persistent head tilt to the right with the chin rotated to the left. The parents first noticed this at 2 weeks of age. There is a palpable, non-tender, firm mass in the right sternocleidomastoid muscle. The infant was born via normal vaginal delivery with no complications. Range of motion of the neck is limited, with reduced rotation to the right. Hip examination is normal and there is mild right-sided plagiocephaly. Regarding congenital muscular torticollis (CMT):

Mark each as TRUE or FALSE

A

Congenital muscular torticollis is the most common cause of torticollis in infants; it is characteri...

B

The etiology of CMT is not completely understood but theories include intrauterine positioning, birt...

C

Imaging is mandatory in all cases of CMT to confirm the diagnosis before treatment; MRI of the cervi...

D

There is an association between CMT and developmental dysplasia of the hip (DDH), occurring in up to...

E

Initial treatment is conservative with stretching exercises, positioning modifications, and physioth...

Answer the questions to see explanations

Click T (True) or F (False) for each option