Minggu, 11 Maret 2012

review torticolis


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Persing J. Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Pediatrics. 2003;112:199-202.
Patel M, Shah K. Orthopedics. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 42.

 Of the journal titled as above, I can understand are as follows :

TORTICOLLIS
Torticollis, or wryneck, is a stiff neck associated with muscle spasm, classically causing lateral flexion contracture of the cervical spine musculature (a condition in which the head is tilted to one side). The muscles affected are principally those supplied by the spinal accessory nerve.
Torticollis are common in children can be divided into two types, namely:
1. Congenital (inborn)
In the congenital torticollis, there contracture / stiffness sternocleidomastoid muscle on one side. Sternocleidomastoid muscles are muscles in the neck that serve to turn his head to the left and right.
stiffness in these muscles will result in the baby's neck movement limitations due pemendekkan the muscle fibers. Trauma of the birth canal is usually the cause of congenital torticollis is the occurrence of bleeding in the muscles of the neck had hematoma (blood clot) in the muscle scars over time causes the muscle shortens, thus attracting miring.Tortikolis congenital head generally seen at 2-4 weeks of age birth. The symptoms are always the head neck turned to one side while sleeping, and limited neck movement.
Complications of untreated congenital torticollis is the asymmetry of the face and head shape asymmetry or double vision (diplopia).
 2. Acquired after birth
The cause of acquired torticollis after birth, namely:
a. Injury / inflammation of the nerves of the neck
b. Retrofaringeal abscess (pus located in the back of the throat)
c. inflammation tenggoroksn
d. The shift of the spine, especially in the neck
e. Bleeding stripes around the neck bone
f. Presence of tumor in the spine head
g. Tendency to look only to the position of the baby, causing a shortening of the neck muscles (m.sternocleidomastoideus) on the opposite side.

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