Torticollis in children may result from a wide variety of pathologic processes.
We retrospectively analyzed 288 patients seen in a tertiary care pediatric orthopedic facility for the evaluation of torticollis over a 10-year period to ascertain the frequency of nonmuscular causes of this condition.
Fifty-three of these children (18.4% of the study population) had a nonmuscular etiology for their torticollis.
Of these 53 patients, Klippel-Feil anomalies were present in 16 (30%), and an underlying neurologic disorder was present in 27 (51%). These neurologic conditions included ocular disorders in 12 (23%) patients, brachial plexus palsies in nine (17%) patients, and lesions involving the central nervous system in six (11%) patients.
We conclude that nonmuscular causes of torticollis are collectively not rare.
In a child without an identifiable muscular etiology for torticollis, Klippel-Feil anomalies or an underlying neurologic disorder is likely to be the cause of the deformity in the majority of patients.
Mots-clés Pascal : Torticolis, Enfant, Homme, Etiologie, Prévalence, Epidémiologie, Rachis cervical, Système ostéoarticulaire pathologie, Rachis pathologie
Mots-clés Pascal anglais : Torticollis, Child, Human, Etiology, Prevalence, Epidemiology, Cervical spine, Diseases of the osteoarticular system, Spine disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0315344
Code Inist : 002B15F. Création : 10/04/1997.