Page 5

Clinical

• Presentation
  • Most common signs/symptoms
    • Unilateral longitudinal cervical neck mass
    • Torticollis in up to 20%
  • Clinical profile: Infant with non-tender neck mass, following breach or forceps delivery

• Demographics
  • Age: Most (70%) present by 2 months of age
  • Gender: Slightly more common in males than females
  • Ethnicity: No known ethnic predisposition

• Natural History & Prognosis
  • Mass appears within 2 weeks of delivery
  • Mass may increase in size for days to weeks after presentation
    • Usually regresses by 8 months of age
  • Up to 20% progress to muscular torticollis despite conservative therapy
  • Patients with unsuccessfully treated torticollis may develop distorted skull shape

• Treatment
  • Watchful waiting for normal spontaneous resolution of problem
  • Physical therapy
  • Tenotomy for cases with torticollis that fail conservative therapy

Back