Dudkiewicz Israel, Ganel Abraham, Blankstein Alexander
Department of Orthopaedic Rehabilitation, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Pediatr Orthop. 2005 Nov-Dec;25(6):812-4. doi: 10.1097/01.bpo.0000184648.81109.75.
Ultrasonography is considered the modality of choice for differentiating congenital muscular torticollis from other pathologies in the neck. The authors present their experience with ultrasound examination for the evaluation and management of congenital muscular torticollis. Twenty-six infants, 14 boys and 12 girls, age ranging from 1 to 16 weeks, with torticollis and a palpable mass were examined. Ultrasound showed a well-defined mass in the sternocleidomastoid muscle. The lesions ranged in size from 8 to 15.8 mm on maximal transverse diameter, with length ranging from 13.7 to 45.8 mm. Clinically the torticollis disappeared between 1 to 6 weeks, with complete clinical reduction of the palpated mass between 2 and 8.5 weeks. The ultrasonographic disappearance of the mass was delayed by an average of 2 weeks in comparison to the clinical disappearance of the mass. Ultrasound is advocated for the diagnosis and follow-up of congenital muscular torticollis because it noninvasively provides reliable and dynamic information without sedation.
超声检查被认为是区分先天性肌性斜颈与颈部其他病变的首选方式。作者介绍了他们使用超声检查评估和处理先天性肌性斜颈的经验。对26例年龄在1至16周、患有斜颈且可触及肿块的婴儿进行了检查，其中14例为男婴，12例为女婴。超声显示胸锁乳突肌内有边界清晰的肿块。肿块最大横径为8至15.8毫米，长度为13.7至45.8毫米。临床上，斜颈在1至6周内消失，可触及肿块在2至8.5周内完全消退。与肿块临床消失相比，肿块超声检查消失平均延迟2周。超声检查因其无需镇静即可无创地提供可靠的动态信息，故被推荐用于先天性肌性斜颈的诊断和随访。
