XXXX : a spectrum of pathology.

@entity1 @entity85 @entity9282
@entity9282 ( @entity9282 ) is a disorder characterized by a shortening of at least one of the cervical muscles and tilting of the head to the opposite side. The most commonly affected muscle is the sternocleidomastoid (SCM) muscle. An unusual case is presented here: a @entity9282 @entity1 with involvement of the trapezius muscle in addition to the SCM muscle who has recently been treated at North Carolina Memorial Hospital. This @entity1 still has a slight @entity85 despite two surgical procedures, physical therapy, and splinting. A review of 41 @entity9282 @entity1 who presented to this institution from 1952 to the present demonstrates that the disorder is extremely variable in terms of severity of @entity85 and response to various types of therapy. The condition will resolve spontaneously in the majority of @entity1 by the age of 1 year, and if the condition has not resolved by then, it is unlikely to do so without surgery. We therefore believe that surgery should be postponed until after 1 year of age. Most of the @entity1 requiring surgery are effectively treated by division of the involved muscle in at least one area with or without lengthening of the SCM muscle. Splinting and physical therapy are recommended postoperatively. A few @entity1 such as the unusual one with involvement of the trapezius muscle resist our most aggressive therapeutic efforts.
