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J Orthop Traumatol. 2017 Dec;18(4):359-364. doi: 10.1007/s10195-017-0461-z. Epub 2017 Jun 29.

Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis?

Author information

1
Department of Pediatrics, Aarhus University Hospital, Aarhus N, 8200, Aarhus, Denmark. ninahardgrib@hotmail.com.
2
Department of Children's Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.
3
Department of Obstetrics and Gynaecology, Aarhus University Hospital, Aarhus, Denmark.

Abstract

BACKGROUND:

Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of this study was to systematically describe obstetric and perinatal outcomes in a population of children with a confirmed congenital muscular torticollis diagnosis.

MATERIALS AND METHODS:

Children with a validated diagnosis of congenital muscular torticollis born at Aarhus University Hospital from 2000 to 2014 were included in the study. Information on perinatal, intrapartum and neonatal characteristics were obtained from databases and from medical records, and systematically described.

RESULTS:

In this study, there were no differences in birth characteristics in children with left- and right-sided torticollis, between boys and girls or between the conservatively treated and the children who needed surgery. Most of the children with congenital muscular torticollis in this study were delivered at term without signs of birth complications or trauma. None experienced moderate or severe asphyxia.

CONCLUSIONS:

The results of the present study suggests that complicated birth or birth trauma may not be the main cause of congenital muscular torticollis and point towards intrauterine and prenatal reasons for its development. LEVEL OF EVIDENCE ACCORDING TO OCEBM LEVELS OF EVIDENCE WORKING GROUP: 3.

KEYWORDS:

Child; Congenital muscular torticollis; Obstetric; Perinatal; Risk factors

PMID:
28664414
PMCID:
PMC5685980
DOI:
10.1007/s10195-017-0461-z
[Indexed for MEDLINE]
Free PMC Article

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