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Orthop Nurs. 2002 May-Jun;21(3):21-7; quiz 27-9.

Congenital muscular torticollis.

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Shriners Hospitals for Children, Intermountain, Salt Lake City, Utah, USA.


Congenital muscular torticollis is a painless condition usually presenting during infancy with a tight sternocleidomastoid muscle causing the child's head to be tilted to the tightened side. Limited neck motion and a palpable tumor within the muscle are often present. A regimen of stretching exercises is the most common form of treatment with positive outcomes for over 90% of the identified cases. Rarely children require surgical intervention to release the tightened muscle. Botox injections to relax the tight muscle is a new form of treatment being used by some practitioners. Torticollis also presents as a symptom for a variety of muscular, bony, and neurologic conditions, which are briefly reviewed in this article.

[Indexed for MEDLINE]

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