Milena M Ploeger, Christoph Trillhaase, Charlotte Rommelspacher, Rahel Bornemann, Robert Ossendorf, Richard Placzek
{"title":"[Surgical treatment of congenital muscular torticollis].","authors":"Milena M Ploeger, Christoph Trillhaase, Charlotte Rommelspacher, Rahel Bornemann, Robert Ossendorf, Richard Placzek","doi":"10.1007/s00064-023-00805-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Surgical treatment of congenital muscular torticollis with tripolar release of the sternocleidomastoid muscle, followed by modified postoperative treatment with a special orthosis.</p><p><strong>Indications: </strong>Muscular torticollis due to contracture of the sternocleidomastoid muscle; failure of conservative therapy.</p><p><strong>Contraindications: </strong>Torticollis due to bony anomaly or other muscular contractures.</p><p><strong>Surgical technique: </strong>Tenotomy of the sternocleidomastoid muscle occipitally and resection of at least 1 cm of the tendon at the sternal and clavicular origin.</p><p><strong>Postoperative management: </strong>Orthosis must be worn for 6 weeks 24 h/day, then for another 6 weeks 12 h/day.</p><p><strong>Results: </strong>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.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":"35 3-4","pages":"188-194"},"PeriodicalIF":1.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247838/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Orthopadie Und Traumatologie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00064-023-00805-x","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
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.
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.
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