Study Of The Clinical Classification Of Adult Congenital Muscular Torticollis

Objective: Through studying the clinical manifestation and extent of disease of adult congenital muscular torticollis and then make clinical classification, to provide a theoretical basis for the clinical surgical treatment of the disease.Methods: Select To see a doctor in Shanghai first rehabilitation hospital in June2014 to July 2015 age greater than 18 years old adult congenital muscular torticollis(ACMT) with 30 cases as the research object. According to the neck clinical manifestations and the high frequency of musculoskeletal ultrasound images of the neck contracture organization, It can be divided into type A1(1 case), A2 type(1case), B(4 cases), C1 type(22 cases), C2(1 case), type C3(1 case), According to clinical classification and make contracture tissue Minimally invasive release surgery accurately In the high frequency of musculoskeletal ultrasound guided. Assessment of postoperative effect according to the evaluated parameters of Cheng and Tang and the change of the data with Patients cervical motion of cervical laterodeviation angle(the diseased declination angle, the health declination angle), angle of rotation(the diseased rotation angle, the health rotation angle), Qu Yang angle(the anteflexion angle, the hypsokinesis angle). To further verify the significance of the clinical types.Results: After Minimally invasive release surgery accurately In under the guidance of clinical classification of 30 patients, the efficacy was excellent in 27 cases, good in2 cases, general in 1 cases, the excellent rate was 90%, the excellent and good rate was 96.7%, The type A1, A2, B type, the vast majority of C1 type patients with postoperative efficacy are excellent, the 2 cases of C1 type patients are good, only 1cases of C3 type patients with severity lesions in the range and degree of contracture are general. and there were no other complications. adult congenital torticollis patients of cervical laterodeviation angle, angle of rotation, Qu Yang angle(40.2±2.3,39.3±3.6,50.4±3.7,51.3±3.2,42.2±2.4,45.3±3.6) were improved in different degree after operation. And close to normal people(43.5±2.8,44.1±2.2,62.2±2.3,61.4±2.7,45.4±3.3,49.7±2.8), the health declination angle, with diseased rotation angle, with hypsokinesis angle were significantly improved after operation, the difference was statistically significant(P < 0.05).Conclusion: Adult patients with congenital muscular torticollis clinical classification accurately reaction and objective assessment of the patient condition(contracture parts, range, degree) and Accurate and effective guide surgery(surgical approach, loose solution range, concrete operation),it has important clinical significance to the treatment of adult congenital muscular torticollis.