The Journal of Bone and Joint Surgery, Vol 67, Issue 1 30-38, Copyright © 1985 by Journal of Bone and Joint Surgery, Inc
Long-term results of open sternocleidomastoid tenotomy for idiopathic muscular torticollis
E Ippolito, C Tudisco and M Massobrio
At the end of their skeletal growth, we evaluated the cases of sixty-seven
patients who had had an open tenotomy of the sternal and clavicular origins
of the sternocleidomastoid muscle for idiopathic muscular torticollis. The
average length of follow-up was 15.4 years, and the average age at the last
follow-up was 23.9 years. The patients were divided into three groups
according to their age at the time of operation. Group I consisted of
patients who were operated on between the ages of five months and six
years; Group II, of patients who were operated on between the ages of seven
and eleven years; and Group III, of patients who were operated on when they
were twelve years old or older. According to our method of evaluation, 37
per cent of the patients had a good, 45 per cent had a fair, and 18 per
cent had a poor result. The patients in Group I had the best results and
those in Group III, the worst. In general, the patient's age at operation,
the duration of the disease, and the severity of the deformity before the
operation had the major effects on both cosmetic and functional results.
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