Hardgrib N, Rahbek O, Møller-Madsen B, Maimburg R D
Department of Pediatrics, Aarhus University Hospital, Aarhus N, 8200, Aarhus, Denmark.
Department of Children's Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.
J Orthop Traumatol. 2017 Dec;18(4):359-364. doi: 10.1007/s10195-017-0461-z. Epub 2017 Jun 29.
Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of this study was to systematically describe obstetric and perinatal outcomes in a population of children with a confirmed congenital muscular torticollis diagnosis.
Children with a validated diagnosis of congenital muscular torticollis born at Aarhus University Hospital from 2000 to 2014 were included in the study. Information on perinatal, intrapartum and neonatal characteristics were obtained from databases and from medical records, and systematically described.
In this study, there were no differences in birth characteristics in children with left- and right-sided torticollis, between boys and girls or between the conservatively treated and the children who needed surgery. Most of the children with congenital muscular torticollis in this study were delivered at term without signs of birth complications or trauma. None experienced moderate or severe asphyxia.
The results of the present study suggests that complicated birth or birth trauma may not be the main cause of congenital muscular torticollis and point towards intrauterine and prenatal reasons for its development. LEVEL OF EVIDENCE ACCORDING TO OCEBM LEVELS OF EVIDENCE WORKING GROUP: 3.
先天性肌性斜颈（CMT）在儿童期可见，出生后数月内出现。病因尚不清楚；然而，医学教科书表明出生时的创伤是主要原因。本研究的目的是系统描述确诊为先天性肌性斜颈的儿童群体的产科和围产期结局。
纳入2000年至2014年在奥胡斯大学医院出生且确诊为先天性肌性斜颈的儿童。从数据库和病历中获取围产期、分娩期和新生儿特征信息，并进行系统描述。
在本研究中，左侧和右侧斜颈儿童、男孩和女孩之间，以及保守治疗的儿童和需要手术的儿童之间，出生特征没有差异。本研究中大多数先天性肌性斜颈儿童足月分娩，无出生并发症或创伤迹象。无人经历中度或重度窒息。
本研究结果表明，复杂分娩或出生创伤可能不是先天性肌性斜颈的主要原因，提示其发病存在宫内和产前原因。根据OCEBM证据等级工作组的证据等级：3级。
