Holla M, de Visser E, Gardeniers J W M
Universitair Medisch Centrum St Radboud, afd. Orthopedische Chirurgie, Postbus 9101, 6500 HB Nijmegen.
Ned Tijdschr Geneeskd. 2006 Nov 25;150(47):2605-9.
In 2 girls, 4 years and 8 months of age, respectively, torticollis had been diagnosed a few weeks after birth. Kinesiotherapy, given for a period of 1 year and 6 months, respectively, had little effect. Both girls were then referred to the Orthopaedic Outpatient Clinic where a shortened sternocleidomastoid muscle and an asymmetrical face were diagnosed. The shortened muscle was cleaved surgically. Over half a year later, the face of the older child was still asymmetrical but that of the younger child symmetric. It is recommended that children with torticollis due to a shortened sternocleidomastoid muscle first be given stretch exercises under the guidance of a physiotherapist. If the result at the age of 1 year is unsatisfactory, an orthopaedic surgeon can then cleave the muscle.
分别为4岁和8个月大的两名女童在出生后几周被诊断出患有斜颈。分别进行了1年6个月的运动疗法,效果甚微。随后这两名女童被转诊至骨科门诊,诊断出胸锁乳突肌缩短和面部不对称。对缩短的肌肉进行了手术劈开。半年多后,年龄较大的孩子面部仍然不对称,而年龄较小的孩子面部已恢复对称。建议因胸锁乳突肌缩短导致斜颈的儿童首先在物理治疗师的指导下进行伸展运动。如果1岁时的效果不理想,骨科医生可随后劈开该肌肉。