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[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

目的

采用胸锁乳突肌三极松解术治疗先天性肌性斜颈，并采用特殊矫形器进行改良术后治疗。

适应症

胸锁乳突肌挛缩导致的肌性斜颈；保守治疗失败。

禁忌症

由骨骼异常或其他肌肉挛缩引起的斜颈。

手术技术

在枕部切断胸锁乳突肌，并在胸骨和锁骨起点处切除至少1厘米的肌腱。

术后管理

矫形器必须每天佩戴24小时，持续6周，然后每天佩戴12小时，再持续6周。

结果

共有13例患者接受了胸锁乳突肌三极松解术及改良术后管理。平均随访时间为25.7个月。1例患者在3年后复发。未观察到术中或术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/b8c85ead6627/64_2023_805_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/9c8e40c32379/64_2023_805_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/78d98adb6f33/64_2023_805_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/bba7f4120ab4/64_2023_805_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/93f078947cac/64_2023_805_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/1e5b395318e7/64_2023_805_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/53a9e2eaf2ba/64_2023_805_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/b8c85ead6627/64_2023_805_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/9c8e40c32379/64_2023_805_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/78d98adb6f33/64_2023_805_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/bba7f4120ab4/64_2023_805_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/93f078947cac/64_2023_805_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/1e5b395318e7/64_2023_805_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/53a9e2eaf2ba/64_2023_805_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc0/10247838/b8c85ead6627/64_2023_805_Fig7_HTML.jpg

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Comparison of Clinical Findings of Congenital Muscular Torticollis Between Patients With and Without Sternocleidomastoid Lesions as Determined by Ultrasonography.
超声检查确定的有无胸锁乳突肌病变的先天性肌性斜颈患者临床发现的比较
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Postoperative Analgesic Effect of Ultrasound-Guided Intermediate Cervical Plexus Block on Unipolar Sternocleidomastoid Release With Myectomy in Pediatric Patients With Congenital Muscular Torticollis: A Prospective, Randomized Controlled Trial.超声引导下颈丛神经阻滞在小儿先天性肌性斜颈手术中的应用：一项前瞻性随机对照试验
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