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Congenital torticollis is a postural deformity of the neck that develops prenatally.
It is usually noted within the first month of life, however, diagnosis can be delayed.
There are 2 types:
Red flag features in Red
Congenital muscular torticollis should be suspected in infants with a preferred head position or posture, reduced range of motion of the cervical spine, SCM mass, and/or craniofacial asymmetry.
Consider an alternative diagnosis if no muscle tightness or mass is palpated on examination
A majority of cases will resolve after four to five months. If no significant improvement by 6 months of age, re-consider the diagnosis or refer to paediatric orthopaedic surgeon.
Red flag identified
Care required beyond the comfort level of the local healthcare facility
For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.
Patients can be discharged from follow up once they have:
Kids Health Info on Plagiocephaly
Last updated May 2020