[Surgical treatment of congenital muscular torticollis].

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2023-06-01 DOI:10.1007/s00064-023-00805-x

Milena M Ploeger, Christoph Trillhaase, Charlotte Rommelspacher, Rahel Bornemann, Robert Ossendorf, Richard Placzek

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Abstract

Objective: Surgical treatment of congenital muscular torticollis with tripolar release of the sternocleidomastoid muscle, followed by modified postoperative treatment with a special orthosis.

Indications: Muscular torticollis due to contracture of the sternocleidomastoid muscle; failure of conservative therapy.

Contraindications: Torticollis due to bony anomaly or other muscular contractures.

Surgical technique: Tenotomy of the sternocleidomastoid muscle occipitally and resection of at least 1 cm of the tendon at the sternal and clavicular origin.

Postoperative management: Orthosis must be worn for 6 weeks 24 h/day, then for another 6 weeks 12 h/day.

Results: A total of 13 patients were treated with tripolar release of the sternocleidomastoid muscle and modified postoperative management. Average follow-up time was 25.7 months. One patient presented with recurrence after 3 years. No intra- or postoperative complications were observed.

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先天性肌性斜颈的外科治疗。

目的:采用胸锁乳突肌三极松解术治疗先天性肌性斜颈，术后采用特殊矫形器改良治疗。适应症:胸锁乳突肌挛缩引起的肌性斜颈;保守治疗失败。禁忌症:由于骨异常或其他肌肉挛缩引起的斜颈。手术技术:胸锁乳突肌枕部肌腱切开术，切除胸骨和锁骨起始处至少1 厘米的肌腱。术后处理:矫形器必须佩戴6周24 h/天，然后再佩戴6周12 h/天。结果:13例患者接受了胸锁乳突肌三极松解术和改良的术后处理。平均随访时间25.7个月。1例患者3年后出现复发。无术中、术后并发症。

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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.