Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Aug 26;8(9):735.
doi: 10.3390/children8090735.

Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Jun-Il Park  1 , Joo-Hyun Kee  1 , Ja Young Choi  1 , Shin-Seung Yang  1
Affiliations

Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Jun-Il Park et al. Children (Basel). .

Abstract

It has been reported that congenital muscular torticollis (CMT) may result in secondary scoliosis over long-term follow-ups. However, there are few reports on whether CMT causes pelvic malalignment syndrome (PMS). This study aimed to investigate the relationship between CMT and PMS and to determine the factors associated with the development of PMS in children with longstanding CMT. Medical records of 130 children with CMT who had long-term follow-up were reviewed retrospectively. The chi-squared test and logistic regression analysis were used to determine which initial clinical parameters contributed to the development of PMS. Among 130 children with CMT, 51 (39.2%) developed PMS with or without compensatory scoliosis during long-term follow-up, indicating a high prevalence of PMS in children with a CMT history. Initial clinical symptoms such as a limited range of motion of the neck or the presence of a neck mass could not predict the development of PMS. Even if the clinical symptoms are mild, long-term follow-up of children with CMT is essential to screen for PMS.

Keywords: congenital muscular torticollis; long-term follow-up; pelvic malalignment syndrome; scoliosis.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Cervical range-of-motion measurement using arthrodial goniometer (adapted from Hwang et al. Changes in muscle stiffness in infants with congenital muscular torticollis 2019; 9(4); 158 [20]).
Figure 2
Figure 2
The thickness of the SCM muscle was measured with electronic calipers in (a) the longitudinal plane and (b) in the transverse plane.
Figure 3
Figure 3
Radiographic changes with malalignment: (a) whole-spine AP radiograph and (b) pelvic portion radiograph.
Figure 4
Figure 4
Measurement of pelvic asymmetry in (a) the coronal plane and (b) in the transverse plane.
Figure 5
Figure 5
Asymmetrical alignment of the pelvic bone, compensatory curvatures of the spine, and asymmetrical ranges of motion of the pelvis in transverse and coronal planes.
See this image and copyright information in PMC

References

    1. Yim S.Y., Yoon D., Park M.C., Lee I.J., Kim J.H., Lee M.A., Kwack K.S., Lee J.D., Lee J.H., Soh E.Y., et al. Integrative analysis of congenital muscular torticollis: From gene expression to clinical significance. BMC Med. Genom. 2013;6((Suppl. 2)):S10. doi: 10.1186/1755-8794-6-S2-S10. - DOI - PMC - PubMed
    1. Kaplan S.L., Coulter C., Fetters L. Physical therapy management of congenital muscular torticollis: An evidence-based clinical practice guideline: From the Section on Pediatrics of the American Physical Therapy Association. Pediatric Phys. Ther. 2013;25:348–394. doi: 10.1097/PEP.0b013e3182a778d2. - DOI - PubMed
    1. Blythe W.R., Logan T.C., Holmes D.K., Drake A.F. Fibromatosis Colli: A common cause of neonatal torticollis. Am. Fam. Physician. 1996;54:1965–1967. - PubMed
    1. Stassen L.F., Kerawala C.J. New surgical technique for the correction of congenital muscular torticollis (wry neck) Br. J. Oral Maxillofac. Surg. 2000;38:142–147. doi: 10.1054/bjom.1999.0180. - DOI - PubMed
    1. Hollier L., Kim J., Grayson B.H., McCarthy J.G. Congenital muscular torticollis and the associated craniofacial changes. Plast. Reconstr. Surg. 2000;105:827–835. doi: 10.1097/00006534-200003000-00001. - DOI - PubMed

LinkOut - more resources