Many authors agree that the nonsurgical treatment with stretching and massage yields an excellent result in more than 90% of patients 1,6–10. Others emphasize the fact that for such treatment to be very successful, it should be started within a few months after birth. If this or other treatments do not yield positive results, surgery can sometimes correct the problem. Conservative management is rarely successful in patients presented in childhood 7,11. Less than 10% of cases require a surgical approach if a significant restriction of motion (above 30°) or facial asymmetry is present at school age 4,10,12. Ferkel bipolar lengthening of SCM is a procedure of choice for those patients 13. We are of the opinion that in the patients seen in childhood, surgical intervention should be considered the treatment of choice to avoid further irreversible changes.
The authors have contributed substantially to the submitted work, have made a significant contribution to the findings and methods in the paper and have reviewed and agree with the submission of the manuscript for review. All authors have read and approved the final draft.
There are no conflicts of interest.
1. Morrison DL, MacEwen GD. Congenital
: observations regarding clinical findings, associated conditions, and results of results of treatment. J Pediatr Orthop 1982; 2:500.
2. Anderson W. Clinical lecture on sternocleidomastoid torticollis
. Lancet 1893; 1:9.
3. Hummer CD, MacEwen GD. The coexistence of torticollis
dysplasia of the hip. J Bone Joint Surg Am 1985; 67:30.
4. Ling CM. The influence of age on the result of open sternomastoid tenotomy in muscular torticollis
. Clin Orthop Relat Res 1976; 116:142.
5. Coventry MB, Harris LE. Congenital
in infancy: some observations regarding treatment. J Bone Joint Surg Am 1959; 41:815.
6. Binder H, Eng GD, Gaiser JF, Koch B. Congenital
: results of conservative management with long-term follow-up in 85 cases. Arch Phys Med Rehabil 1987; 68:222.
7. Canale ST, Griffin DW, Hubbard CN. Congenital
: a long-term follow-up. J Bone Joint Surg Am 1982; 64:810.
8. Celayir AC. Congenital
: early and intensive treatment is critical. A prospective study. Pediatr Int 2000; 42:504.
9. Cheng JC, Tang SP. Outcome of surgical treatment congenital
. Clin Orthop Relat Res 1999; 362:190.
10. Ippolito E, Tudisco C, Massobrio M. Long-term results of open sternocleidomastoid tenotomy for idiopathic muscular torticollis
. J Bone Joint Surg Am 1985; 67:30.
11. Minamitani K, Inoue A, Okuno T. Results of surgical treatment of muscular torticollis
for patients greater than 6 years of age. J Pediatr Orthop 1990; 10:754.
12. Masłon A, Lebiedzinski R, Domzalski M, Synder M, Grzegorzewski A. Facial asymmetry in children
after surgical treatment. Chir Narzadow Ruchu Ortop Pol 2009; 74:31–34.
13. Do TT. Congenital
: current concepts and review of treatment. Curr Opin Pediatr 2006; 18:26–29.
14. Kustos T, Magdics M. Bilateral torticollis
. Orv Hetil 1993; 134:2817–2820.
15. Babu MK, Lee P, Mahadev A, Lee EH. Congenital
bilateral sternocleidomastoid contracture: a case report. J Pediatr Orthop B 2009; 18:145–147.
16. Shi XL, Li CS, Zhou KP, Yang C, Qi X, Li SQ. Congenital
bilateral sternocleidomastoid contracture: a case report. Zhongguo Gu Shang 2016; 29:86–88.