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Torticollis is commonly known as crooked neck disease, this condition is the most common disease in childhood, there are many reasons for the formation of torticollis, before the first thing to clarify the cause of the disease, different torticollis ** methods are not the same, for the general type of torticollis is also different. There are two types of torticollis, so what are the two common methods of torticollis.
There are several types of torticollis.
Type 1 torticollis is classified as a heavy head with significant tilt to one side, limited neck movement, and obvious facial and cranial deformities. Type 2 is medium, with moderate tilt of the head to one side, local shortening of all sternocleidomastoid muscles on the affected side, and the presence of a hard mass in it. The third category is mild, the head and neck are slightly slanted to one side, the chest mastoid muscle on the affected side is hypertrophied, and occasionally there will be shortening, there will be a mass or no mass on the surface of the patient, the neck movement is not restricted, and the head and facial deformities of the patient are not too obvious.
Recognize the two types of torticollis.
1. Pediatric congenital torticollis, which is a pediatric torticollis caused by sternocleidomastoid muscle atrophy, this disease is also the most common one in torticollis, conservative ** can be used before the age of 1 2 years**, after this period, surgery must be required**.
2. Habitual torticollis, which is a kind of torticollis that exists on the patient's body, simply put, after the examination, there is no cause of torticollis, then it may be habitual torticollis, but it is easy not to make a diagnosis of habitual torticollis, because there may be other diseases.
The above introduction is a detailed introduction to the torticollis and the two types of torticollis, for the baby must pay more attention to the reasonable arrangement of life, and must not take it seriously, otherwise the neck will be injured, and the neck will have a sense of pressure, and even the final formation of the cervical spine exists, so in the initial period must be taken as soon as possible, so as not to delay the condition.
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1. Physiological torticollis.
If the baby has torticollis 3 months after birth, it is often physiological torticollis. This is due to the fact that the child's neck strength is not strong after raising the head, and the head is relatively heavy. This situation does not need to be **, and it usually gets better naturally by about 1 year old. Parents just need to pay attention.
What are the types of torticollis in newborns?
2. Pathological torticollis.
1) Muscular torticollis.
Torticollis appears about 2 weeks after birth, and a significant lump can be seen on the neck. In this case, it is currently believed that muscular torticollis is caused by tension spasms caused by lesions of the sternocleidomastoid muscle on one side,** and there may be two factors: one is the increased intramuscular pressure of the sternocleidomastoid muscle, resulting in muscle ischemia and fibrosis.
The other is the fibromatosis theory, which is a benign fibromatous lesion within the muscle.
**: 80% of muscular torticollis can be cured by physical therapy such as functional exercises, and 20% of those who do not get better by 1 year old need surgery to be released.
2) Oculogenic torticollis.
There was no lump in the neck at birth, and torticollis did not appear until 6 months. This condition may be caused by strabismus, which usually occurs when the child is positioned to see things, and returns to normal when sleeping.
**: Because of the need for the child's cooperation, ocular torticollis must wait until about 1 to 2 years old to be diagnosed.
3) Bony torticollis.
Bony torticollis results from a deformity of the cervical spine. It is manifested as torticollis after the baby is born, and it can be accompanied by symptoms such as short neck, also known as short neck syndrome.
**: The child does not feel uncomfortable and does not need to intervene, if there is cervical spondylolisthesis and pain, the symptoms can be relieved by surgery. However, in order to maintain the stability of the cervical spine for a long time, it is also necessary to cooperate with functional exercises.
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1) Congenital torticollis: muscular torticollis; Spinal dysplasia.
2) Acquired torticollis: secondary or acute torticollis (cold wind invasion, infection, trauma); ophthalmic torticollis (upper squint, lower squint); spasmodic torticollis; Neurogenic torticollis.
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Torticollis, commonly known as crooked neck disease, is divided into two categories: congenital and acquired, and is divided into five categories: acute, neurological, bony and secondary.
Acute torticollis: due to fibrosis and contracture of some muscles in the neck, the neck is pulled to one side, the patient's neck is crooked, the neck is restricted, and if it is not timely, it will also cause secondary facial deformities.
Bony torticollis: tilt due to birth defects of the cervical vertebrae, dysplasia, and trauma.
Secondary torticollis: torticollis secondary to inflammation of the neck, soft tissue contracture, cervical dislocation, fracture, or certain diseases.
Compensatory torticollis: compensatory posture caused by habitual local inflammation, damage to the protective area, or strabismus, visual and hearing changes.
Spastic torticollis, also known as neuropathic torticollis, is caused by changes in the central nervous system to involuntary twitching of many muscles in the neck, forcing abnormal posture and abnormal functional activities of the head and neck, some are tilted to one side, some are twisted horizontally, some can not lift their heads, some cannot look at the sky and cannot lower their heads, some rotate their heads, some rotate their heads and tilt back.
Natural and social needs.
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