Peds - 15 - Test 2 - Torticollis

WHAT IS TORTICOLLIS?

Derived from Latin:
Torta = twisted
Collum = neck

Also known as:
Wry Neck
Turtle Neck
Twisted Neck

SIGNS and SYMPTOMS and DX

Head tilt with rotation ___-not always
Elevated shoulder girdle
___ in the belly of the muscle
Limited ROM
Difficulty visual ___
___ of the face and/or skull
Difficulty breast feeding

OCCURRENCE

One in ___ live births

___ as a coexisting impairment
-80-90%

Hip ___
-20%

Scoliosis

Club foot

Metatarsus Adductus

TYPES

Congenital Muscular Torticollis
1. Present at birth

Acquired Torticollis
1. Traumatic
2. Spas___

CONGENTIAL TORTICOLLIS

___ common form

SCM-___ syndrome
-Palpable mass
-Trauma during birth
-___ injury
-Intrauterine ___

CAUSES of CMT (Congenital Muscular Torticollis)

___ birth

Large BW

Sustained head ___ position

Decreased ___ to SCM

Cervical spine anomaly/malformation

Forceps delivery

PHYSICAL FEATURES

___cephaly

___ of ears

___ of the side of the neck under the ear

Flattening of the mandible

___ tilting of the lower jaw and gum line

Elevation of the TMJ

Limited movement of the neck

Asymmetries of the back, chest, hips and feet

look at algorithm for treatment

ACQUIRED TORTICOLLIS

Acute trauma
-Fracture, clavicle, scapula

Non-traumatic(3):
1. Boney deformities- C1, C2 ___
-Inflammatory processes

2. Without boney deformities
-___ lesion, neurological syndromes
-Inflammation/infection

3. Painful Torticollis
-Osteoid ___, osteo___

ASSESSEMENT

ROM
-NECK, UE’s, LE’s, Trunk

VISION
SKIN
DEVELOPMENTAL SKILLS
RIGHTING AND EQUILIBRIUM

ASYMMETRIES
-___cephaly

TREATMENT

Regain passive and active ROM
Skin integrity
Facilitate WB, WS
Righting and equilibrium reactions
Visual tracking ___ degrees, up/down

PERSISTENT TORTICOLLIS

Rule out the following:
1. Retro-___ abscess
2. ___ tumors
3. Soft tissue mass with ___ tissue
4. Fracture
5. Cervical abnormality
6. Visual abnormality