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Home > West Medicine > Surgery > Orthopedics
M43.600

Torticollis (Wry Neck)

骨外科

Common symptoms

进行性颈部肿块、面部畸形

The pathology of disease

Torticollis (wry neck) is abnormal head tilt/rotation due to sternocleidomastoid (SCM) contracture. Types: congenital muscular torticollis (SCM mass/contracture in infants), acquired (spasmodic/cervical dystonia, ocular, inflammatory, trauma, drug). Clinical: head tilt, chin rotation, SCM tightness, plagiocephaly in infants. Treatment: congenital: PT (stretching, positioning), TOT collar, botulinum toxin injection, surgical release (if fails 6-12 months); acquired: treat cause, NSAIDs, PT, cervical collar, botulinum toxin, benzodiazepines/anticholinergics for dystonia; follow-up orthopedics/neurology/PT.

Common Symptoms

Head tilt; chin rotation; SCM tightness; neck pain

Causes and Pathogenesis

SCM contracture (congenital) or dystonia/inflammation/trauma (acquired).

Treatment

PT/stretching; botulinum toxin; surgical release if refractory

Preventive Measures

Early infant PT; positioning; treat underlying cause.

Department to Visit

It is recommended to visit the Orthopedics/Neurology/Physical-therapy department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.