title: A surgical treatment for adult muscular torticollis.
abstract: Adult presentation of neglected congenital muscular torticollis (CMT) is rare. Therefore, efficacy of surgical treatment for adult CMT is unclear. We experienced a case of neglected CMT in a 28-year-old male patient and report the surgical result here. We conducted unipolar resection at the distal end of the sternocleidomastoid muscle (SCM). After surgery, the range of neck movement and head tilt improved, and his appearance was cosmetically improved despite the long-standing nature of the deformity. We concluded that surgical management of adult patients with neglected congenital muscular torticollis may be a treatment option.
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Medicine, Tokyo University, Bunkyo-ku, Tokyo 113-8655, Japan ; Department of Orthopaedic Surgery, Asahi General Hospital, Asahi, Chiba 289-2511, Japan.
authors.forename: Song Ho
authors.initials: SH
authors.lastname: Chang
authors.forename: Seiji
authors.initials: S
authors.lastname: Ohtori
authors.forename: Akihiko
authors.initials: A
authors.lastname: Okawa
authors.forename: Koui
authors.initials: K
authors.lastname: Kawamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saiki
authors.forename: Izumi
authors.initials: I
authors.lastname: Nakada
authors.forename: Takashi
authors.initials: T
authors.lastname: Shimada
authors.forename: Junichi
authors.initials: J
authors.lastname: Nakamura
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Takahashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sugiyama