[先天性肌性斜颈的外科治疗]

[Surgical treatment of congenital muscular torticollis].

作者信息

Ploeger Milena M, Trillhaase Christoph, Rommelspacher Charlotte, Bornemann Rahel, Ossendorf Robert, Placzek Richard

机构信息

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

出版信息

Oper Orthop Traumatol. 2023 Jun;35(3-4):188-194. doi: 10.1007/s00064-023-00805-x. Epub 2023 Apr 20.

DOI:10.1007/s00064-023-00805-x

PMID:37079025

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10247838/

Abstract

OBJECTIVE

Surgical treatment of congenital muscular torticollis with tripolar release of the sternocleidomastoid muscle, followed by modified postoperative treatment with a special orthosis.

INDICATIONS

Muscular torticollis due to contracture of the sternocleidomastoid muscle; failure of conservative therapy.

CONTRAINDICATIONS

Torticollis due to bony anomaly or other muscular contractures.

SURGICAL TECHNIQUE

Tenotomy of the sternocleidomastoid muscle occipitally and resection of at least 1 cm of the tendon at the sternal and clavicular origin.

POSTOPERATIVE MANAGEMENT

Orthosis must be worn for 6 weeks 24 h/day, then for another 6 weeks 12 h/day.

RESULTS

A total of 13 patients were treated with tripolar release of the sternocleidomastoid muscle and modified postoperative management. Average follow-up time was 25.7 months. One patient presented with recurrence after 3 years. No intra- or postoperative complications were observed.

摘要