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Congenital muscular torticollis of the sternocleidomatoid muscle in an infant

Authors: Lennox Anderson-Jackson, Donovan A. McGrowder
Int J Biol Med Res. 2012; 3(3): 2274-2276  |  PDF File


Congenital muscular torticollis (CMT), a painless condition is the most common form of torticollis in children. CMT usually presents during infancy with a tight sternocleidomastoid muscle (SCM) causing the child's head to be tilted to the ipsilateral side. A case study is presented of a 9-month-old infant who had been medically diagnosed with the disorder. The left SCM muscle was prominent and the infant’s head was tilted to the ipsilateral side and chin appears rotated. An ultrasound examination of the neck musculature suggested fibromatosis colli (pseudo-tumor) of the left SCM. A treatment plan for the infant includes physical therapy with active stimulation and stretching of the restricting muscle. There was subsequent improvement in the infant’s neck range of motion and head position.