CLINICAL AND EPIDEMIOLOGICAL CHARACTERIZATION OF CHILDREN WITH CONGENITAL MUSCULAR TORTICOLLIS, SANTIAGO DE CUBA, 2017-2020

https://doi.org/10.56274/rcs.2022.1.1.1

Abstract

Introduction: Congenital muscular torticollis is the third most commonly diagnosed orthopedic disease in childhood. Early diagnosis and rehabilitation treatment can influence its evolution and prognosis. Objective: To characterize children under 5 years of age with this entity from the clinical and epidemiological points of view. Materials and Methods: An observational, longitudinal and prospective Research was carried out. The universe consisted of 114 children under 5 years of age who attended the provincial Neurodevelopment consultation of the South Children’s Hospital of Santiago de Cuba in the period 2017-2020. Results: The male sex predominated (67.9%), the average age was 6,9 ± 2 months, 21,4% of the patients presented organic complications of the entity. Eutocic delivery (73,2%), right-sided involvement (67,9%), age less than 6 months (65,2%), and fetal macrosomia (11,6%) were the clinical and demographic elements of higher observance. Plagiocephaly (12,3%) and facial asymmetry (11,6%) were the most frequent complications, congenital hip dysplasia was the main comorbidity (4,4%) and late rehabilitation treatment was associated with a greater number of sequelae (43,6%). Conclusion: The study carried out shows that the clinical and epidemiological characteristics of patients with congenital muscular torticollis in Santiago de Cuba province do not differ from the world epidemiological context, being a relatively frequent observation entity in Pediatrics.