Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis?
Abstract Background Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of this study was to systematically describe obstetric and perinatal outco...
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doaj-166c7e574cb94c9d9cf32d8b435b16852020-11-24T21:38:49ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99211590-99992017-06-0118435936410.1007/s10195-017-0461-zDo obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis?N. Hardgrib0O. Rahbek1B. Møller-Madsen2R. D. Maimburg3Department of Pediatrics, Aarhus University HospitalDepartment of Children’s Orthopaedics, Aarhus University HospitalDepartment of Children’s Orthopaedics, Aarhus University HospitalDepartment of Obstetrics and Gynaecology, Aarhus University HospitalAbstract Background Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of this study was to systematically describe obstetric and perinatal outcomes in a population of children with a confirmed congenital muscular torticollis diagnosis. Materials and methods Children with a validated diagnosis of congenital muscular torticollis born at Aarhus University Hospital from 2000 to 2014 were included in the study. Information on perinatal, intrapartum and neonatal characteristics were obtained from databases and from medical records, and systematically described. Results In this study, there were no differences in birth characteristics in children with left- and right-sided torticollis, between boys and girls or between the conservatively treated and the children who needed surgery. Most of the children with congenital muscular torticollis in this study were delivered at term without signs of birth complications or trauma. None experienced moderate or severe asphyxia. Conclusions The results of the present study suggests that complicated birth or birth trauma may not be the main cause of congenital muscular torticollis and point towards intrauterine and prenatal reasons for its development. Level of evidence according to OCEBM levels of evidence working group 3http://link.springer.com/article/10.1007/s10195-017-0461-zChildCongenital muscular torticollisObstetricPerinatalRisk factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
N. Hardgrib O. Rahbek B. Møller-Madsen R. D. Maimburg |
spellingShingle |
N. Hardgrib O. Rahbek B. Møller-Madsen R. D. Maimburg Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? Journal of Orthopaedics and Traumatology Child Congenital muscular torticollis Obstetric Perinatal Risk factors |
author_facet |
N. Hardgrib O. Rahbek B. Møller-Madsen R. D. Maimburg |
author_sort |
N. Hardgrib |
title |
Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
title_short |
Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
title_full |
Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
title_fullStr |
Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
title_full_unstemmed |
Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
title_sort |
do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? |
publisher |
SpringerOpen |
series |
Journal of Orthopaedics and Traumatology |
issn |
1590-9921 1590-9999 |
publishDate |
2017-06-01 |
description |
Abstract Background Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of this study was to systematically describe obstetric and perinatal outcomes in a population of children with a confirmed congenital muscular torticollis diagnosis. Materials and methods Children with a validated diagnosis of congenital muscular torticollis born at Aarhus University Hospital from 2000 to 2014 were included in the study. Information on perinatal, intrapartum and neonatal characteristics were obtained from databases and from medical records, and systematically described. Results In this study, there were no differences in birth characteristics in children with left- and right-sided torticollis, between boys and girls or between the conservatively treated and the children who needed surgery. Most of the children with congenital muscular torticollis in this study were delivered at term without signs of birth complications or trauma. None experienced moderate or severe asphyxia. Conclusions The results of the present study suggests that complicated birth or birth trauma may not be the main cause of congenital muscular torticollis and point towards intrauterine and prenatal reasons for its development. Level of evidence according to OCEBM levels of evidence working group 3 |
topic |
Child Congenital muscular torticollis Obstetric Perinatal Risk factors |
url |
http://link.springer.com/article/10.1007/s10195-017-0461-z |
work_keys_str_mv |
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