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Sternocleidomastoid Hematoma
Hematoma Sternocleidomastoid

Presentation

An 8-page color insert presents over 40 photos that visually demonstrate key assessment findings for ear, skin, and other conditions. NEW! [books.google.com]

The history of prolonged labor or difficult delivery may be present in many cases. The presentation usually is asymptomatic neck swelling or mass in neonates. In some cases, torticollis may be present. [jcnonweb.com]

We report herein two cases of spontaneous neck haematoma in a 19-month-old girl and a 30-month-old boy who initially presented with neck swelling. Case presentation Case 1. [bmcpediatr.biomedcentral.com]

Risk factors include macrosomia, abnormal fetal presentation, prolonged or rapid labor, and forceps or vacuum deliveries. [amboss.com]

It typically presents a few weeks after birth. Presentation is usually with torticollis and is most frequently related to birth trauma (e.g. forceps delivery) or malposition (e.g. breech) in the womb. [radiopaedia.org]

Musculoskeletal

  • Myopathy

    Separate arterial supplies predispose to ischemia in the sternal head, resulting in focal myopathy and fibrosis. Get access to the full text of this article [onlinelibrary.wiley.com]

    Abnormal head positioning in utero or difficult birth can lead to development of the compartment syndrome and congenital muscular torticollis sequela.Acquired SCM torticollis, can be post traumatic, myopathy induced, post infectious, drug induced, neurological [physio-pedia.com]

    […] basic patterns of abnormality is present: Abnormal anatomy with normal signal, i.e. accessory muscle Muscle atrophy, i.e. too much fat Muscle edema, i.e. too much water while retaining normal architecture due to muscle injury, myositis and imflammatory myopathy [radiologyassistant.nl]

Workup

Workup Workup consists of radiographic studies of the shoulder and upper arm to rule out bony injury. The chest should be examined to rule out associated phrenic nerve injury. [emedicine.medscape.com]

History and physical examination remain the most important processes in the diagnostic workup. Imaging and electromyography or nerve conduction studies can be used to supplement the diagnostic workup. [clinicalgate.com]

Treatment

This case should suggest caution in thrombolytic treatment in patients with chronic immune dysregulation and vascular inflammation such as extra-pulmonary tuberculosis. [ncbi.nlm.nih.gov]

Discussion The treatment of IS is a course of treatment and prevention of the aggravation [ 3 - 5 ]. An idiopatic scoliosis under 20° Cobb is considered exclusively a physiotherapic treatment [ 17 ]. [omicsonline.org]

Surgical treatment is rarely required. [amboss.com]

A Prospective Study of 821 Cases - Operative Treatment: - indications for surgery: - failure of non operative treatment after 12 to 24 months of age, surgical intervention is needed to prevent further facial deformity; - involves resection of portion [wheelessonline.com]

The symptoms and the treatment for this complication are the same as in the case of peritonsillar abscess. Deep neck infections are not so frequent. [ic.steadyhealth.com]

Prognosis

[…] guidelines for determining prognosis are available. [emedicine.medscape.com]

Discharge instructions and medications NSAIDS Short course of benzodiazepine Cervical collar (soft or rigid) for comfort Activity Limit activity until resolved Patient Monitoring Follow up in 1 week If not resolved, needs further evaluation for other causes PROGNOSIS [urgentcarepeds.org]

The prognosis of birth traumas is usually favorable, with most injuries resolving spontaneously within weeks to months. [amboss.com]

Treatment and prognosis It is a self-limiting condition and usually resolves within 4-8 months 3 and requires no more than physiotherapy. For a general differential see: differential diagnosis of pediatric cervical lesions. [radiopaedia.org]

Etiology

[…] chapter will focus on acquired torticollis, not congenital PATHOPHYSIOLOGY Injury or inflammation of sternocleidomastoid (SCM) or trapezius muscle Most common in school age children Acute infection with referred pain to SCM or compensatory muscle spasm ETIOLOGY [urgentcarepeds.org]

In our document the patients after evaluation of radiologic examinations, no certain diagnosis could be made; we thought that the patient might be experiencing spontaneous neck hematomas with unknown etiology. [bmcpediatr.biomedcentral.com]

Etiology Because idiopathic cervical dystonia is a neurodegenerative process, the confluence of etiologic factors in modern popular explanations applies here as it does in idiopathic Parkinson disease. [emedicine.medscape.com]

PATHOGENESIS The etiology of CMT in infants is contracture or shortening of the SCM muscle. FIG 1 • Anatomy of SCM muscle and important surrounding structures. [musculoskeletalkey.com]

Epidemiology

[9] Facial nerve palsy due to birth trauma Neonatal brachial plexus palsy Shoulder dystocia Definition : an obstetric emergency in which the anterior shoulder of the fetus becoming impacted behind the maternal pubic symphysis during vaginal delivery Epidemiology [amboss.com]

Epidemiologic aspects of shoulder dystocia-related neurological birth injuries. Arch Gynecol Obstet. 2014 Sep 11. [Medline]. [Guideline] Narakas AO. The Paralysed Hand. Edinburough: Churchill Livingstone; 1987. [emedicine.medscape.com]

Pathophysiology

DESCRIPTION Lateral twisting or rotation of neck; also called wryneck This chapter will focus on acquired torticollis, not congenital PATHOPHYSIOLOGY Injury or inflammation of sternocleidomastoid (SCM) or trapezius muscle Most common in school age children [urgentcarepeds.org]

Up to 20% of children with congenital muscular torticollis have congenital dysplasia of the hip as well. [13, 14, 15, 16, 17, 18, 19] Acquired torticollis The pathophysiology of acquired torticollis depends on the underlying disease process. [emedicine.medscape.com]

Pathophysiology And Clinical Evaluation Cervical spondylosis is a progressive degenerative cascade that occurs with aging. [clinicalgate.com]

Prevention

The prevention of this symptom during surgery is therefore important. The main method for prevention is the interposition of a graft between the skin flap and the parotid bed during surgery. [cochranelibrary.com]

Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎ [books.google.es]

Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.com]

Phase III: Gliding of the neural tissue through the surgical site to prevent the formation of adhesions should be promoted. [clinicalgate.com]

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