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Archives de pédiatrie
Volume 19, n° 3
pages 335-339 (mars 2012)
Doi : 10.1016/j.arcped.2011.12.024
Torticolis congénital
Congenital torticollis
 

P. Wicart
Université Paris Descartes, hôpital Necker–Enfants-Malades, rue de Sèvres, 149, rue de Sèvres, 75743 Paris cedex 15, France 

Service de chirurgie pédiatrique, orthopédique et plastique, hôpital Saint-Vincent-de-Paul, 82, avenue Denfert-Rochereau, 75014 Paris, France.
Résumé

Le torticolis congénital est une affection très fréquente d’origine posturale, caractérisée par une rétraction plus ou moins importante du muscle sternocléidomastoïdien. Aucun traitement, autre que des conseils « de bon sens » donnés aux parents, n’est indiqué. L’évolution est spontanée, favorable dans la grande majorité des cas chez le nourrisson. L’élimination de diagnostics différentiels (malformative osseuse et/ou neurologique, oculaire, tumorale) est un point clé. Le dépistage de la luxation congénitale de la hanche est de rigueur car la physiopathologie est commune. La persistance du torticolis après l’âge de 18 mois peut requérir un allongement chirurgical du muscle en cause.

The full text of this article is available in PDF format.
Abstract

Congenital torticollis is a very common postural deformity, characterized by a more or less severe retraction of sternocleidomastoid muscle. Any treatment, else that “good sense” counsels given to the parents, is indicated. The evolution is spontaneously favorable in the majority of cases before the age of one year old. The elimination of differential diagnosis (vertebral and/or neurological malformations, ocular, tumor) is the key-point. Screening of congenital hip dislocation is mandatory because the physiopathology is the same in both diseases. A remaining torticolis after 18 months of age may be an indication to sternocleidomastoid muscle lengthening.

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