In this section
Age at onset and duration of symptoms are important for diagnosis and treatment.
Neonatal torticollis – peri-natal history is also important for diagnsis and trearment.
In cases with new onset torticollis in a child – enquire about history of trauma or recent history of upper respiratory tract infection (Grisel’s syndrome).
Look for associated plagiocephaly in the neonate/infant with torticollis.
Look for asymmetric tightness or a mass in the sternocleidomastoid opposite to the direction the chin is pointing.
Torticollis in the newborn should be referred to a general paediatrician as a first step. Muscular torticollis in the neonate/infant (younger than one year) can often be managed by specialist physiotherapy.
New onset torticollis in the child following trauma or following a recent upper respiratory tract infection should be referred to the local paediatric emergency department due to the risk of acute C1-2 rotatory subluxation.
For cases with muscular torticollis in child over the age of one, refer to paediatric orthopaedic surgeon as physiotherapy often not successful.
New onset torticollis in the child following trauma or following a recent upper respiratory tract infection should be referred to the local paediatric emergency department