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단극개방완화를 이용한 선천성 근육성 사경의 치료
2015-03-19 09:47:00

단극개방완화를 이용한 선천성 근육성 사경의 치료​  


박명철, 송현석,김치선, 임신영, 박동하, 배남석, 이일재



Treatment of Congenital Muscular Torticollis with Unipolar Release


Park, Myong Chul, Song, Hyun Suk, Kim, Chee Sun, Yim, Shin Young, Park, Dong Ha, Pae, Nam Suk, Lee, Il Jae

Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Korea


PURPOSE: The congenital muscular torticollis is a neck deformity involving shortening of the sternocleidomastoid muscle, which is detected at birth or shortly after birth. This childhood disease is the third most common congenital musculoskeletal anomaly. The indication for surgery is a persistent head tilt with dificit of passive rotation and lateral bending of the neck and a tight band or tumor in the sternocleidomastoid muscle even after physical therapy. The purpose of this article is to report surgical outcomes with patients who had no or little response to physical therapy. METHODS: Surgery was performed on 29 patients and their average age was 4.1 years(from 6 months to 20.1 years). The unipolar open release and partial myectomy were done in 28 cases and the muscle lengthening was done in 1 case. Physical therapy was started from postoperative seventh day. Follow-up period was ranged from 2 months to 5.4 years(mean follow-up, 20.4 months). Result: There were neither rotation nor lateral bending deficit after surgical treatment. Mild head tilt was noticed in 3 cases and residual bend was observed in 4 cases. The subjective assessments of surgical results by parents were excellent. CONCLUSION: Our surgical outcome encourages the surgical treatment of congenital muscular torticollis for patients who failed to respond to physical therapy.


Keywords Congenital muscular torticollis, Sternocleidomastoid muscle, Unipolar release and partial myectomy


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