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The scientific name "torticollis" or "muscular torticollis" is a symptom of tilted head to one side caused by a variety of factors. Such as: fetal malposition, premature birth, congenital dystonia, etc. It is easy to be ignored by parents and friends because it does not affect the baby's eating and drinking.
However, in clinical diagnosis and treatment, it is found that "crooked neck" is often the earliest symptom of abnormal brain development, as the babies grow older, other more symptoms such as: unstable head-up, 5 months will not turn over, etc. will gradually manifest themselves, so how to recognize and find these problems?
Some "crooked necks" are caused by "congenital muscular torticollis". Such babies often have a large pimple on the neck (sternocleidomastoid muscle) on the side of the head crooked, and if it cannot be reached, two reasons should be considered:
1. Caused by increased muscle tension on the crooked side, such babies often have their hands on the back, like an airplane, good to fight, as long as they exert themselves, the head and arms will be behind the body, and some babies will have obvious movements on both sides of the body, 3 months later, the posture on both sides of sleep is not asymmetrical.
2. Due to the asymmetry of the strength of the bilateral sternocleidomastoid muscles, the side with greater strength can pull the head to the healthy side, such babies are often accompanied by less movement on the affected side, and the upper and lower limbs on the affected side are always slow and half a beat when moving.
In clinical practice, it was found that the real simple "congenital muscular torticollis" only accounted for a small part of the "crooked neck", and the rest were accompanied by abnormal brain development, so we should pay great attention to it, as long as this symptom appears, we should go to a professional institution for a nervous system examination to prevent delaying the condition.
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Noticed, it's a big problem.
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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.
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Hello, according to what you said, torticollis refers to the asymmetrical deformity that occurs in the neck. It can be divided into two categories: primary and secondary, and primary torticollis is more common in clinical practice. Primary torticollis, also known as congenital torticollis.
**It is not clear that the fetus is in an abnormal fetal position or is subjected to abnormal uterine wall pressure, which causes abnormal neck posture and obstructs blood circulation to one side of the sternocleidomastoid muscle, causing ischemia and atrophy and dysplasia, contracture and torticollis. It is also thought to be caused by the squeezing or stretching of one sternocleidomastoid muscle by the birth canal or forceps during childbirth, injury and bleeding, hematoma organization, and contracture. It is also believed that the vegetative artery embolization of the sternocleidomastoid muscle, or the obstruction of venous return, leads to degenerative changes in muscle fibers and the formation of torticollis, in short, it may be caused by a combination of factors.
I hope my advice can help you, and I wish you a speedy collapse!
There are many causes of torticollis, generally congenital muscular torticollis caused by degenerative contracture of one sternocleidomastoid muscle, and torticollis deformity can also occur due to congenital deformity of the cervical spine and atlantoaxial subluxation. It is recommended to go to the pediatric surgery or orthopedic department of a regular hospital for examination, color ultrasound and radiograph, and judge and analyze it in combination with the doctor's physical examination, and take corresponding measures for specific situations.
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Torticollis** is still unknown. However, most scholars believe that abnormal intrauterine pressure or embryonic fetal position is the main cause of congenital muscular torticollis. The fetus is not in the right position in the uterus or is subjected to abnormal uterine wall pressure, which can compress one side of the neck, and the local blood circulation in the sternocleidomastoid muscle is obstructed, resulting in ischemic fibrosis of the muscle and causing torticollis.
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Torticollis is usually caused by the following reasons:
1. Congenital bony torticollis. The disease chain is scattered due to the deformity of the cervical vertebrae during the development of the bone, which leads to the occurrence of auxiliary police. Clause.
2. Congenital muscular torticollis. Abnormal pressure in the uterus and abnormal fetal position are the main causes of this disease. The above conditions can cause impaired blood circulation in the sternocleidomastoid muscle, resulting in fibrous shedding of the muscles, resulting in congenital muscular torticollis.
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There are many causes of torticollis, but the most common thing is the spasm of one side of the muscle caused by the spasm of the sternocleidomastical pure process muscle, and the other muscle is normal, which will cause the occurrence of torticollis.
It can also be caused by atlantoaxial subluxation, which can be caused by trauma, as well as in small children who often have upper respiratory tract infections.
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Ye Jing's absolute command of silver was due to his incorrect posture. The usual good habits are not formed. The performance of the playground writing scene Jane Na. The assistant police are still due to. Caused by anxiety and other reasons. he
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Department: Spine Surgery, Orthopedics.
Sun Yu. Liang Ming Expert Group of Medical Codex.
Chief Physician of Peking University Third Hospital.
He is the leader of the Orthopedic Cervical Spine Professional Group of Peking University Third Hospital, the vice chairman of the Cervical Spine Professional Committee of the Orthopedic Branch of the Chinese Medical Doctor Association, and a member of the International Society for Cervical Spine Research.
The content of this word is original by the Health Medical Codex, and it has been reviewed and proofread three times.
Overview** Symptoms**Prognosis Daily**.
The pathogenesis of torticollis is still inconclusive, and abnormal development of neck bones and muscles is the anatomical basis.
Normally, the muscles on both sides of the neck, as well as the cervical spine, develop symmetrically. When the cervical vertebrae develop abnormally and cause scoliosis, or when one side of the neck muscle has a contracture, it is manifested as abnormal head and neck posture, with the patient's head tilted to one side and the chin pointing to the opposite side.
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There are many causes of torticollis, the more common is the spasm of one side of the muscle caused by spasm of the sternocleidomastoid muscle, and the other muscle is normal, which will cause the occurrence of torticollis. It is also possible that torticollis is caused by atlantoaxial subluxation, which can be caused by injuries to the outer bichen, as well as in children who often have upper respiratory tract infections.
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There are two causes of torticollis: the first is bony torticollis, and the second is muscular torticollis. The so-called bony oblique diameter is formed due to abnormal bone development, or abnormal curves of the neck due to fractures, dislocations, etc.
Muscular torticollis refers to torticollis caused by pathological changes in the muscles, and is common in infants and young children, especially those with birth trauma to the neck. When the sternocleidomastoid muscle is stretched during childbirth, it causes injury, and after birth, the sternocleidomastoid muscle gradually becomes congested, contractures, and hardens, and finally forms muscular torticollis.
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Torticollis, also known as crooked neck, is a common surgical condition that occurs in infancy. It is a relatively common head and neck problem, and most babies can usually get good treatment for fluid collapse. Torticollis can be caused by both physiological and pathological causes.
When the baby is in the mother's body, if the head is kept in the same direction for a long time, and the baby's neck is easy to be stretched during childbirth, causing torticollis, which is a physiological torticollis. As the baby grows and develops gradually, it will slowly recover after three months, and if this happens, it is generally not necessary. However, pathological torticollis is mostly caused by crooked bones and strong muscle pulling of torticollis.
Surgery may be performed if necessary**. The condition of congenital muscular torticollis is still unknown. However, most scholars believe that abnormal intrauterine pressure or fetal hall excavation is not the main cause of congenital muscular torticollis.
Abnormal intrauterine positioning of the fetus or abnormal uterine wall pressure can cause pressure on one side of the neck and impaired local blood circulation in the sternocleidomastoid muscle. This causes ischemic fibrosis of this muscle, resulting in torticollis.
It is also believed that sternocleidomastoid muscular vegetative vascular embolism. Causes degeneration of muscle fibers and formation of torticollis. Dystocia and the use of forceps.
It is one of the causes of muscular torticollis, so it is more likely to occur in breech producers. However, a local mass in the sternocleidomastoid muscle is examined. There are no signs of old bleeding in the nucleus, so this view has not been conclusively confirmed.
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The exact ** of torticollis is not very clear, but most scholars believe that it is related to the following factors:
1. Dystocia, if dystocia occurs during childbirth, it will lead to birth trauma, and then there will be ischemia of sternocleidomastoid muscle, which will lead to hemorrhage and hematoma, secondary sternocleidomastoid muscle fibrosis, resulting in torticollis. Clause.
2. Some patients with normal fetal position and babies with normal delivery can also have torticollis, so scholars believe that it is caused by congenital and genetic factors. In addition, some scholars believe that anterior torticollis is also related to intrauterine infection, extrauterine infection, or arteriovenous thromboembolism, so the specific ** of torticollis is not very clear at present, but most scholars agree that it is related to production.
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There are many causes of torticollis, the more common is the spasm of one side of the muscle caused by spasm of the sternocleidomastoid muscle, and the other muscle is normal. It can also be caused by atlantoaxial subluxation, which can be caused by trauma, as well as in children who often develop upper respiratory tract infections.
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torticollis", commonly known as "crooked neck". Torticollis may be congenital or acquired.
Congenital torticollis, abnormal fetal development in the uterine cavity, or local tissue damage during childbirth, can cause torticollis.
Acquired torticollis is caused by bad lifestyle habits, such as long-term bowing of the head to play with mobile phones, unreasonable standing and sitting postures, etc., this kind of torticollis belongs to the acquired.
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The condition of congenital muscular torticollis is still unknown. However, most scholars believe that abnormal intrauterine pressure or embryonic position is not the main cause of congenital muscular torticollis. The fetus is not in the right position in the uterus or is subjected to abnormal uterine wall pressure, which can compress one side of the neck, and the local blood circulation in the sternocleidomastoid muscle is obstructed, resulting in ischemic fibrosis of the muscle causing torticollis.
Dystocia and forceps use are among the causes of muscular torticollis. Because it is more common in breech births, examination of the sternocleidomastoid muscle mass does not reveal old traces of bleeding, so this view has not been conclusively confirmed.
1 5 of the children with this disease have a clear family history, so it is believed that its occurrence is related to genetics, and such children often have congenital acetabular dysplasia and other malformations.
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