Tag Archive for: Congenital

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.
Email: dr_ashraf007@yahoo.com


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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