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Congenital torticollis refers to the deformity of the neck tilted to one side immediately after birth, which is called myogenic torticollis caused by muscle lesions; A deformity of skeletal development is called osteogenic torticollis. The true cause of congenital torticollis is still unknown. There are currently several insights into the pathogenesis:
The doctrine of intrauterine fetal position, the doctrine of obstruction of blood vessels, the doctrine of genetics and the doctrine of birth trauma. The clinical manifestations are neck mass, torticollis, facial asymmetry and other complications. Its **methods are divided into non-surgical ** and surgical**.
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Congenital muscular torticollis, commonly known as one of the "crooked neck". Congenital muscular torticollis results from fibromatosis within the sternocleidomastoid muscle, with a palpable mass at birth or within the first two weeks of life. The right side is more common than the left, and the lesion can involve all muscles, but more often involve only the proximal clavicle attachment of the sternocleidomastoid muscle.
The mass is largest in the first 1 to 2 months of life, after which it remains the same in size or shrinks slightly, usually becoming smaller or disappearing within 1 year. If the lump does not go away, the muscles will become permanently fibrosis and contracture, and if not, permanent torticollis will occur. Massage more, massage does work, but you must start from now on, and you must stick to it!
A baby in the neighborhood was also like this, and he found out that it was late, and as a result, the massage didn't work, and he finally had surgery.
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There are congenital and acquired trauma.
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At present, the cause of the disease is not clear, the heritability is very large, and it is recommended to use traditional Chinese medicine**.
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There are many reasons for this, and it is recommended to try TCM**.
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Trauma, stress, etc. can lead to this situation.
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If a person does not have a good sleeping posture for a long time, and does not use a good sitting posture, then the person is likely to suffer from the disease of torticollis, and although torticollis disease often occurs in children, but adults also have a certain chance of suffering from torticollis, so what are the symptoms of torticollis?
The clinical manifestations of torticollis are mainly as follows:
1. Torticollis deformity.
After birth, the mother may notice that the baby's head is tilted toward the affected side, the face is rotated to the unaffected side, and the chin is directed toward the unaffected shoulder. 2 Torticollis deformity is more pronounced after 3 weeks. Turning the head to the unaffected side is clearly limited and should be detected by careful observation in milder symptoms.
This symptom worsens as the child grows and develops.
2. Neck lump.
A palpable neck mass is usually palpable within 2 weeks after birth and is located in the middle and lower sternocleidomastoid muscles, and is more common on the right side. This mass is fusiformal, nontender, and generally reaches its maximum after 1 to 2 months, and then gradually shrinks to complete disappearance, and some of these children may develop a lump that does not disappear and produces muscle fibrosis and contractures causing torticollis deformity.
3. Facial deformity.
Congenital muscular torticollis is not effective in the early stages**, and facial deformities appear after 2 years of age. The main manifestations are facial asymmetry, the distance from the outer corner of the eye to the mouth corner of the mouth is asymmetrical, the distance between the affected side is shortened, and the unaffected side is increased. The position of the eye on the affected side is lowered, and because the eyes are not on the same level, it is easy to cause visual fatigue and vision loss.
The face on the unaffected side is round and full, while the affected side is narrow and flat. Compensatory scoliosis deformities can occur in the cervical spine. In addition, the entire face, including the nose and ears, may also have asymmetrical changes.
When a person suffers from torticollis, it will have a great impact on their neck, and they will always feel a lot of pain, so torticollis is a disease that will seriously affect people's daily life, so everyone should pay attention to torticollis, so as to give themselves a stable life.
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The main major ** of torticollis is unclear and may be related to contractures of the neck muscles and dysplasia of the cervical spine. Torticollis is more common in people with family history, children, etc., and can also be induced by lifestyle habits, brain diseases, trauma, etc.
First, the main **.
1. Neck muscle contracture: mainly fibrosis and contracture of one side of the sternocleidomastoid muscle, causing sternocleidomastoid muscle degeneration, birth injury or dystocia during childbirth may be the cause of sternocleidomastoid muscle ischemia, hemorrhage, hematoma organization, and muscle fibrosis.
2. Abnormal development of cervical spine: torticollis caused by abnormal development of vertebral body during cervical spine development, such as vertebral body formation disorders (hemivertebral body, wedge-shaped vertebrae), abnormal fusion of vertebral body (block vertebrae, vertebral body segmentation insufficiency), odontoid process deformity, etc.
3. Genetic factors: Since the child was born with torticollis, it may be related to the genetics of the parents.
4. Abnormal fetal position: the position of the fetus in the uterus is not correct or the uterine wall pressure is abnormal, which will compress one side of the baby's neck, and the local blood circulation in the sternocleidomastoid muscle will be blocked, resulting in ischemic fibrous contracture of the sternocleidomastoid muscle, resulting in the baby's torticollis.
2. Predisposing factors.
1. Lifestyle habits: It is more common in people who work at the desk for a long time and play with their heads bowed to their mobile phones, and the abnormal neck structure induces torticollis.
2. Brain diseases: common in encephalitis, multiple sclerosis, cerebral hemorrhage and other diseases, compression of nerves and blood vessels induces torticollis.
3. Trauma: especially in the head, neck and shoulder trauma, causing permanent damage to muscles and bones to induce torticollis.
The cause of torticollis malformation is not yet definitive, and most scholars believe that abnormal intrauterine pressure and fetal position are not the main causes of torticollis. The fetus is in the uterus in an abnormal position or is subjected to abnormal uterine wall pressure, which compresses one side of the neck, and the blood circulation inside the sternocleidomastoid muscle is impaired, causing ischemic muscle spasm of the muscle, causing torticollis. It is also believed that the embolization of the vegetative blood vessels of the sternocleidomastoid muscle leads to fibrosis of the muscles and causes torticollis. >>>More
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You can go to the hospital to do it**.
Clinical presentation. 1.Torticollis deformity.
After birth, the mother may notice that the baby's head is tilted toward the affected side, the face is rotated to the unaffected side, and the chin is directed toward the unaffected shoulder. 2 Torticollis deformity is more pronounced after 3 weeks. Turning the head to the unaffected side is clearly limited and should be detected by careful observation in milder symptoms. >>>More