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Article
September 1932

FORTY-EIGHTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Author Affiliations

BOSTON; CINCINNATI; NEW YORK; LONDON, ENGLAND; Advisory Editor BOSTON

Arch Surg. 1932;25(3):605-614. doi:10.1001/archsurg.1932.01160210174013
Abstract

CONGENITAL DEFORMITIES 

Congenital Torticollis.  —Bargellini1 presented reports of three cases of congenital torticollis in which operation was performed when the patients were 35 days, 1½ months and 4 months of age, respectively. Two of the infants were delivered by podalic version and the third by an anomalous presentation, not specified. Abnormal inclination of the head and a tumor in the sternal head of the sternocleidomastoid muscle were noted by the mothers. At the time of operation definite facial asymmetry was seen by the author. A globular dusky mass was removed from the sternal head of the muscle, and both the sternal and clavicular attachments were severed; likewise the platysma and the deep cervical fascia. No anesthesia was used. Microscopic sections of specimens showed similar changes: intramuscular fibrosis, atypical growth in size and direction of muscular fasciculi and no evidence of hemorrhage. Postoperative therapy consisted of the weekly reapplication of

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