Prior to 1992, our postoperative management for congenital muscular torticollis consisted of either plaster cast immobilization or no immobilization, depending on the patient's age and the degree of contracture. However, some patients required further surgery and developed complications. In 1992, we produced rugby helmet braces for postoperative management. The purpose of this study was to comp...

Adult presentation of neglected congenital muscular torticollis is rare. We report 12 patients with this condition who underwent a modified Ferkel's release comprising a bipolar release of sternocleidomastoid with Z-lengthening. They had a mean age of 24 years (17 to 31) and were followed up for a minimum of two years. Post-operatively a cervical collar was applied for three weeks with intermit...

N eck pain in children is not an uncommon presenting complaint in a paediatric accident and emergency department. Sheffield has a population of approximately 97 000 children of whom 33 874 attended the accident and emergency department at the children’s hospital in a one year period from 1998 to 1999. Of these, about 817 had pain in the neck region as part of their presenting complaint. Neck pa...

This arlicle was acceptedfor publicalionjanuary 31, 1992 AShortening of the sternocleidomastoid muscle causes the neck to laterally flex and the chin to rotate toward the opposite side. The etiology of "wry neck," or torticollis, is unknown but the immediate cause of deformity is fibrosis within the sternocleidomastoid muscle. When surgery for congenital muscular torticollis is the course of co...

OBJECTIVES Few studies have investigated the injection patterns for botulinum toxin type A for the treatment of heterogeneous forms of cervical dystonia (CD). This large, prospective, open-label, multicentre study aimed to evaluate the effectiveness and safety of 500 U botulinum toxin A for the initial treatment according to a standardised algorithm of the two most frequent forms of CD, predomi...