Purpose An association between congenital muscular torticollis (CMT) and developmental dysplasia of the hip (DDH) has been established in the literature; however, whether the screening of patients with CMT for DDH requires hip imaging remains controversial. The purpose of this study is to determine (1) the coexistence rate of DDH requiring treatment in individuals with CMT and (2) if physical exam alone is sufficient screening.
Methods A single-center retrospective chart review was performed among 97 consecutive patients between 1/1/ 2003 and 9/1/2012 with CMT who had hip imaging performed.
Results 12 % (12/97) of patients with CMT had DDH, all requiring treatment. 75 % (9/12) of the patients with DDH had an abnormal clinical exam. Of the three patients with DDH and a normal clinical exam, two patients were presenting for a second opinion after being treated for DDH prior to evaluation. 90 % (9/10) of patients with DDH at the time of presentation had an abnormal hip exam. All 12 patients with hip dysplasia were referred for DDH or DDH with CMT. There were no patients who were referred for CMT alone that had DDH.
Conclusions In the care of a patient with CMT, it is important that the clinician remains vigilant about screening for DDH. An ultrasound or radiograph of the hips should be strongly considered as part of the evaluation of a child with CMT.
Level of evidence: IV.
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Escrito por Philipp Meyer-Marcotty,a Georg W. Alpers,b Antje B. M. Gerdes,c and Angelika Stellzig-Eisenhauer
Escrito por Julie Ellwood1, Jerry Draper-Rodi1 and Dawn Carnes
Escrito por Zhenhui Zhao1†, Hansheng Deng1†, Xin Qiu1†, Gen Tang1†, Huijia Zheng2, Fang Yang3, Futang Gao4, Zhengyu Wu5, Yuanheng Li6, Shuaidan Zeng1, Jiaxin Zhao7, Yiyuan Sun1, Ziheng Zhou1, Yu Tang1, Zhiwen Cui1, Weiqing Li1, Xiaodi Chen1, Ting Cai1, Xian Liu1, Shicheng Li1*, Qisong Yang2*, Shengping Tang1* and Zhu Xiong8*
