Disease spectrum of torticollis in children and diagnostic flowchart: A retrospective, single‐centre study

• Published in: Journal of paediatrics and child health 2024-06, Vol.60 (6), p.176-182
• Main Authors: Jianqiang, Ma, Haitian, Li, Xiaohu, Fu, LV, Zhongli, Xiaohong, Mu
• Format: Article
• Language: English
• Subjects: Adolescent; Cerebral palsy; Child; Child, Preschool; children; China - epidemiology; diagnostic flowchart; Female; Humans; Infant; Infant, Newborn; Male; Medical diagnosis; multidisciplinary collaboration; Pediatrics; Retrospective Studies; torticollis; Torticollis - diagnosis
• ISSN: 1034-4810; 1440-1754; 1440-1754
• DOI: 10.1111/jpc.16551

Aim To describe the disease spectrum of torticollis in Chinese children and to improve its diagnostic flowchart. Methods A retrospective analysis was conducted at the Rehabilitation Department of Beijing Children’s Hospital from 2017 to 2021. Patients were diagnosed and referred based on a diagnostic flowchart of torticollis. Detailed patient data were collected from the outpatient electronic medical record system. Results A total of 2047 patients met the inclusion criteria. The top five conditions were congenital muscular torticollis (CMT) (76.6%), cerebral palsy (5.1%), ocular torticollis (4.7%), brachial plexus injury (1.9%) and atlantoaxial rotary subluxation (1.3%). CMT was most common in 0–2 year olds, cerebral palsy in 3–5 year olds, and atlantoaxial rotary subluxation in 7–12 year olds. The top five referral departments were orthopaedics, ophthalmology, otolaryngology, head and neck surgery, neurology and neurosurgery. Conclusions The disease spectrum of torticollis in children and the diagnostic flowchart provide important references for diagnosing torticollis, which necessitates multidisciplinary collaboration.