Clin Med: Peds MSK EXAM
what are the 2 types of Torticollis - VERIFIED ANSWER congenital and acquired
Is a postural deformity of the neck that develops prenatally (though presentation to medical
attention may be delayed); - VERIFIED ANSWER Congenital torticollis
Is a postural deformity of the neck that is usually evident by two to four weeks of age; - VERIFIED
ANSWER Congenital muscular torticollis
Congenital muscular torticollis is characterized by lateral neck _____ (head tilted to one side) and
neck _____ (chin pointed to the opposite side) - VERIFIED ANSWER flexion, rotation
what are the 3 types of Congenital muscular torticollis in the order of increasing severity - VERIFIED
ANSWER postural
muscular
sternocleidomastoid mass
what type of Congenital muscular torticollis: Infant has a postural preference but no muscle
tightness or restriction to passive range of motion - VERIFIED ANSWER postural
what type of Congenital muscular torticollis: tightness of the sternocleidomastoid muscle and
limitation of passive range of motion - VERIFIED ANSWER muscular
what type of Congenital muscular torticollis: Thickening of the sternocleidomastoid muscle and
limitation of passive range of motion - VERIFIED ANSWER Sternocleidomastoid mass (also called
fibromatosis colli)
what is the most common form of congenital torticollis - VERIFIED ANSWER Congenital muscular
torticollis
Malposition of the head in utero and injury to the _____ muscle that results in fibrosis have been
proposed to contribute to the development of congenital torticollis, although these conditions are
not always present - VERIFIED ANSWER sternocleidomastoid
, what is the defining clinical feature of torticollis - VERIFIED ANSWER Preferred head position or
posture
Postural preference with the head tilted toward one side and the chin rotated to the opposite side
Limited passive range of motion of the neck - VERIFIED ANSWER Congenital Torticollis
what are associated conditions of congenital muscular torticollis - VERIFIED ANSWER Craniofacial
asymmetry
Plagiocephaly (flattening of one side of head)
Facial asymmetry
Head tilt, usually evident by two to four weeks of age
Reduced cervical range of motion (inability of the examiner to passively rotate the chin past the
shoulders = and laterally flex the neck so that the ear touches the shoulder)
Palpable SCM tightness or mass in the inferior portion of the SCM - VERIFIED ANSWER congenital
muscular torticollis
mainstay treatment for congenital muscular torticollis - VERIFIED ANSWER positioning and
handling changes (Tummy time, repositioning while feedings)
Criteria for discontinuation of therapy include - VERIFIED ANSWER Full passive range of motion (ie,
within 5° of the unaffected side)
Symmetric active movement patterns
Age-appropriate motor development
No visible head tilt
In children, _____ typically results from SCM or trapezius muscle injury or inflammation. - VERIFIED
ANSWER acquired torticollis
examples of life threatening causes of acquired torticollis - VERIFIED ANSWER Retropharyngeal
abscess
Suppurative jugular thrombophlebitis (Lemierre syndrome)
Cervical spine injury
what are the 2 types of Torticollis - VERIFIED ANSWER congenital and acquired
Is a postural deformity of the neck that develops prenatally (though presentation to medical
attention may be delayed); - VERIFIED ANSWER Congenital torticollis
Is a postural deformity of the neck that is usually evident by two to four weeks of age; - VERIFIED
ANSWER Congenital muscular torticollis
Congenital muscular torticollis is characterized by lateral neck _____ (head tilted to one side) and
neck _____ (chin pointed to the opposite side) - VERIFIED ANSWER flexion, rotation
what are the 3 types of Congenital muscular torticollis in the order of increasing severity - VERIFIED
ANSWER postural
muscular
sternocleidomastoid mass
what type of Congenital muscular torticollis: Infant has a postural preference but no muscle
tightness or restriction to passive range of motion - VERIFIED ANSWER postural
what type of Congenital muscular torticollis: tightness of the sternocleidomastoid muscle and
limitation of passive range of motion - VERIFIED ANSWER muscular
what type of Congenital muscular torticollis: Thickening of the sternocleidomastoid muscle and
limitation of passive range of motion - VERIFIED ANSWER Sternocleidomastoid mass (also called
fibromatosis colli)
what is the most common form of congenital torticollis - VERIFIED ANSWER Congenital muscular
torticollis
Malposition of the head in utero and injury to the _____ muscle that results in fibrosis have been
proposed to contribute to the development of congenital torticollis, although these conditions are
not always present - VERIFIED ANSWER sternocleidomastoid
, what is the defining clinical feature of torticollis - VERIFIED ANSWER Preferred head position or
posture
Postural preference with the head tilted toward one side and the chin rotated to the opposite side
Limited passive range of motion of the neck - VERIFIED ANSWER Congenital Torticollis
what are associated conditions of congenital muscular torticollis - VERIFIED ANSWER Craniofacial
asymmetry
Plagiocephaly (flattening of one side of head)
Facial asymmetry
Head tilt, usually evident by two to four weeks of age
Reduced cervical range of motion (inability of the examiner to passively rotate the chin past the
shoulders = and laterally flex the neck so that the ear touches the shoulder)
Palpable SCM tightness or mass in the inferior portion of the SCM - VERIFIED ANSWER congenital
muscular torticollis
mainstay treatment for congenital muscular torticollis - VERIFIED ANSWER positioning and
handling changes (Tummy time, repositioning while feedings)
Criteria for discontinuation of therapy include - VERIFIED ANSWER Full passive range of motion (ie,
within 5° of the unaffected side)
Symmetric active movement patterns
Age-appropriate motor development
No visible head tilt
In children, _____ typically results from SCM or trapezius muscle injury or inflammation. - VERIFIED
ANSWER acquired torticollis
examples of life threatening causes of acquired torticollis - VERIFIED ANSWER Retropharyngeal
abscess
Suppurative jugular thrombophlebitis (Lemierre syndrome)
Cervical spine injury
