Unilateral sternal head resection in an adult case of congenital torticollis: A rare anatomical variation.

INTRODUCTION AND IMPORTANCE

This case report describes the rare diagnosis of congenital muscular torticollis (CMT) in adulthood. While of congenital muscular torticollis (CMT) is commonly identified in infancy, delayed presentation can lead to persistent functional and cosmetic impairments. This case highlights the challenges of late diagnosis and the role of surgical intervention in achieving favorable outcomes.

PRESENTATION OF CASE

A 20-year-old woman presented with restricted neck mobility and facial asymmetry. Clinical examination and imaging confirmed unilateral sternocleidomastoid muscle (SCM) contracture with an absent clavicular head. The patient underwent unilateral sternocleidomastoid muscle (SCM) resection. Postoperative rehabilitation significantly improved mobility and aesthetic concerns.

CLINICAL DISCUSSION

Late-presenting congenital muscular torticollis (CMT) is uncommon and requires individualized management. This case demonstrates how unilateral sternocleidomastoid muscle (SCM) resection can be an effective alternative to traditional bipolar release. Postoperative rehabilitation played a crucial role in restoring function.

CONCLUSION

This report underscores the potential for successful intervention in neglected congenital muscular torticollis (CMT) cases. Key takeaways include: Late-presenting congenital muscular torticollis (CMT) can still be effectively treated with surgery and rehabilitation. Anatomical variations must be considered for optimal surgical planning. A tailored surgical approach, including unilateral sternocleidomastoid muscle (SCM) resection, can yield significant functional and cosmetic improvements.