Resumen

LACRUZ-RENGEL, María Angelina; ROMERO A, Lucia; MARQUEZ-ALBORNOZ, Carmen  y  ROJAS DE HERNANDEZ, Morelia. Clinical and evolving characteristics of congenital muscular torticollis. Arch Venez Puer Ped [online]. 2013, vol.76, n.1, pp.12-16. ISSN 0004-0649.

Introduction: The Congenital Muscular Torticollis (CMT) is a compartmental syndrome resulting from a disturbance of the sternocleidomastoid muscle associated with an intrauterine malposition. It is the third best known muscle-skeletal anomaly in the pediatric age. Objective: To describe the frequency distribution of the CMT clinical and evolving variables. Methods: A transversaldescriptive clinical research was conducted through the review of medical records of patients with CMT from the Neuropediatric and Physical Medicine / Rehabilitation units of the Hospital Universitario Los Andes Institute during the period 2001-2011. Results: 16 cases, 11 female, were reviewed, 9 of which were five or more months old at admission. Association of TMC with breech presentation in half of the cases and a third of them with complicated caesarean section was observed. The most common reason for seeking consultation was the lateral cervical position, this being at the right in 11 cases. The findings of cervical pseudo tumor were constant, shoulder-neck space and cervical rotation angles were decreased. Fourteen patients presented plaquiocefalia and facial asymmetry. Patients under 3 months of age had a positive response to rehabilitation treatment and those 5 or more months old to rehabilitation treatment combined with surgical treatment. Conclusions: An early diagnosis of CMT and an early intervention could promote a functional prognosis of the patient and avoid surgical support.

Palabras clave : Congenital Muscular Torticollis; Clinic; Evolution.

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