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Congenital torticollis

最后审阅: 13 Feb 2025
最后更新: 14 Feb 2025

小结

定义

病史和体格检查

其他诊断因素

  • twin birth
  • unvaried supine sleep and resting position
  • decreased prone awake time
  • head tilt
  • head rotated with decreased active rotation to affected side
  • decreased head righting to contralateral side
  • sternocleidomastoid mass
  • ipsilateral shoulder elevation
  • plagiocephaly/craniofacial asymmetry
  • hypertropia on contralateral side
  • hip click or asymmetry
完整详情

危险因素

  • plagiocephaly
  • breech delivery
  • cesarean section delivery
  • twin A (lower in utero)
  • complicated deliveries (forceps or vacuum)
  • birth trauma
完整详情

诊断性检查

首要检查

  • cervical spine x-ray
  • pelvic x-ray
  • hip ultrasound
完整详情

需考虑的检查

  • neck ultrasound
  • skull x-ray
  • cervical/cranial MRI
完整详情

治疗流程

持续性治疗

inadequate head control or age <5 months

good head control and age >5 months

撰稿人

作者

Joyce L. Oleszek, MD
Joyce L. Oleszek

Associate Professor

Department of Physical Medicine and Rehabilitation

University of Colorado School of Medicine and The Children's Hospital Colorado

Aurora

CO

利益声明

JLO is co-author of one of the references cited in this topic.

同行评议者

Elizabeth A. Moberg-Wolff, MD

Associate Professor

Program Director

Tone Management and Mobility

Children's Hospital of Wisconsin

Milwaukee

WI

利益声明

EAMW declares that she has no competing interests.

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