Lower Pole Release in Congenital Muscular Torticollis – Retrospective Analysis of Outcomes in 15 Cases
Journal Title: Indian Journal of Physical Medicine and Rehabilitation - Year 2016, Vol 0, Issue 2
Abstract
Congenital muscular torticollis is a common congenital problem. It is considered to be amenable to treatment which may be conservative or surgical. There are as yet no fi xed guidelines as to the methodology or the timing of treatment. It is certainly advised to be prudent in selecting the appropriate treatment which should neither be too conservative nor over-invasive. We are reporting a series of 15 cases in which we did a unipolar release of the sternocleidomastoid muscle at the lower attachment. Retrospective analysis of 15 consecutive patients is done. During the postoperative period the parents were advised to regularly continue with the stretching exercises, focus on activities on the opposite side of the face and use a semi-rigid cervical collar, specially designed for active correction of these cases. We got very satisfactory postoperative results in most of our patients except one who had resistant deformity due to advanced age. In conclusion we would like to bring the focus back to unipolar release which is shifting unduly in favour of a bipolar release. This would also reduce the chances of the complication of accessory nerve injury. We have used the scoring system developed by Cheng et al and modifi ed by Shim in which the present cases showed improvement of 7 points with p-value of less than 0.0001
Authors and Affiliations
Dr. Ajay Gupta
Keywords
Related Articles
- EP ID EP232129
- DOI -
- Views 87
- Downloads 0
Does Radiologic Grading Predict Severity of Osteo-arthritis Knee
Objective: Evaluation of association between pain and functional limitation of osteo-arthritis knee with radiographic features. Methods: Total of 123 knee OA patients diagnosed on the basis of American College of Rheumat...
CRPS of Lower Extremity– A Case Report and Review
Complex regional pain syndrome (CRPS) of the lower limb is a relatively uncommon entity as compared to CRPS of the upper extremity. Literature search has revealed only 2 retrospective case series and a single case report...
Conception, Development, and Clinical Trial Design of Point-of care Technologies: A Case of Improved FES Device Development
Objective: This article presents a case study on the development of an indigenous stimulator device, including the design of its clinical trials and the process of its clinical trial registration in the newly launched cl...
Upper Extremity Prosthesis – What Is New in It?
Over the past 40 years, technology has dramatically affected the field of upper limb prosthesis. With improvement in the electronics industry, along with advances in the miniaturisation and mass production of electronic...
A Rare Indication for Amputation
A forty-two years old housewife came to the outpatient department. She met with a very bad road traffic accident in childhood resulting in a crush injury of left lower limb and a degloving injury on the right lower limb....