Risk factors for intrauterine constraint are associated with ultrasonographically detected severe fibrosis in early congenital muscular torticollis
- Authors
- Lee, YT[Lee, Yong-Taek]; Cho, SK[Cho, Soo Kyoung]; Yoon, K[Yoon, Kyungjae]; Shin, HK[Shin, Hun Kyu]; Kim, E[Kim, Eugene]; Kim, YB[Kim, Yong-Bum]; Kim, WS[Kim, Won-Serk]; Chun, JM[Chun, Jung Mi]; Han, BH[Han, Byung Hee]
- Issue Date
- Mar-2011
- Citation
- JOURNAL OF PEDIATRIC SURGERY, v.46, no.3, pp.514 - 519
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF PEDIATRIC SURGERY
- Volume
- 46
- Number
- 3
- Start Page
- 514
- End Page
- 519
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/70687
- DOI
- 10.1016/j.jpedsurg.2010.08.003
- ISSN
- 0022-3468
- Abstract
- Background/Purpose: The etiology of congenital muscular torticollis (CMT) remains controversial. Ultrasonographically, severe fibrosis involving the entire sternocleidomastoid muscle (SCM; type 3 or 4) fibrosis has been associated with poor clinical outcomes and indicates a chronic state of the condition. The purpose of this study was to test whether or not type 3 or 4 fibrosis detected early after birth is associated with factors related to prolonged intrauterine constraint. Methods: Sixty-seven patients (age, < 3 months) with CMT were classified into 4 different ultrasonographic types according to the severity of SCM fibrosis. The odds ratio for the relationship between probability of type 3 or 4 and factors related to intrauterine constraint were calculated by a multivariate logistic regression model. Results: None were classified as type 4. Twenty-three patients (34%) had a history of breech presentation, and 21 (91.3%) of them were delivered by elective cesarean section without likelihood of birth trauma. Compared with normal pregnancy, breech presentation and oligohydramnios showed a 6.7 or 7.5 times higher probability for type 3 fibrosis, respectively. Conclusion: Risk factors for intrauterine constraint appear to be associated with ultrasonographically detected severe fibrosis involving the entire SCM muscle in early presenting CMT. (C) 2011 Elsevier Inc. All rights reserved.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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