Congenital Muscular Torticollis: A study

Volume 6 | Issue 1 | Jan-April 2020 | Page: 11-15 | Md. Ashraful Islam, Datta N K, Arefin K M N, Faisal A, Mahmud C I, Murad S A, Rahman M M, Alam M M U, Begum I A

Authors : Md. Ashraful Islam [1], Datta N K [1], Arefin K M N [1], Faisal A [1], Mahmud C I [1], Murad S A [1], Rahman M M [1], Alam M M U [1], Begum I A [2]

[1] Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
[2] Department of Biochemistry, Popular Medical College, Dhaka, Bangladesh.

Address of Correspondence
Dr. Md. Ashraful Islam
Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.


Congenital muscular torticollis is not an uncommon problem. We evaluated 14 patients who were operated by bipolar releases and Z-lengthening. Post operatively Halter traction was used for 20 hours for 6 weeks and only at night for another 6 weeks. Out of 14 patients 5 were male, 9 were female with mean age of 9.06 years (2-17yrs) and mean follow up period was 3yrs and 4 months (3 months to 7 years), with involvement of the right side in all the patients. Mean lateral flexion deficit improved 16o and mean rotational deficit improved 12o. According to modified Lee scoring system 3 patients had excellent, 7 well, 3 fair and 1 poor result. Cosmetic improvement was significant and patients and parents were happy. There were no post-operative complications. Scar was not an issue and one patient had residual band due to poor post-operative rehabilitation as the age of the child was 2 years. Bipolar release with Z- lengthening gives well to excellent results in most patients.

Key words: Congenital, Torticollis, Post operatively


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How to Cite this Article: Islam M A, Datta N K, Arefin K M N, Faisal A, Mahmud C I, Murad S A, Rahman M M, Alam M M U, Begum I A | Congenital Muscular Torticollis: A study | International Journal of Paediatric Orthopaedics | Jan-April 2020; 6(1): 11-15.

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