lecture 3: torticollis and HDD Flashcards
CMT classification of severity
congenital MT is a nonprogressive, unilateral contracture of the SCM.
Need to rule out ____
non-muscular torticollis
non-MSK torticollis accounts for approximately __% of all torticollis
18%
What are some big non-MSK torticollis
cervical rib
posterior fossa tumor
Sandifer’s syndrome (gastro reflux)
sublux of cervical vertebrae
extraocular paresis
cataract
Klippel-Feil syndrome
Sprengel’s deformity
BP injury, clavicle injury during birth
association between CMT and DDH is __%
10-20%
torticollis CPG
- neck PROM
- neck and trunk AROM
- develop symmetrical mvmt
- environmental adaptation
- parent education
___ is the gold standard for confirming hip dislocation
ultrasound
hip ___ is the most consistent clinical sign of hip dysplasia in neonates
abduction limitation/asymmetry
5-10 degrees difference in ROM can be a sign
about -_% of kids with DDH have CMT
about __% of kids with DDH have metatarsus adductus/calcaneovalgus
20% CMT
10% clubfoot
Barlow vs Ortolani
Barlow: adduct, posterior force
Ortolani: abduct, slight traction
Grade 1 CMT
early mild
0-3 months, less than 15 degrees
GRADE 2 CMT classification
early moderate
4-6 months with 15-30 degrees
GRADE 3 CMT classification
early severe
4-6 months with over 30 degrees, or SCM mass
GRADE 4 CMT classification
late mild
7-9 months with less than 15 degrees
GRADE 5 CMT classification
late moderate
10-12 months with less than 15 degrees
GRADE 6 CMT classification
late severe
infants 7-12 months with over 15 degrees
GRADE 7 CMT classification
late extreme
infants after 7 months with SCM mass
after 12 months with over 30 degrees, SCM mass, or referred after 12 months
