56Posterior Triangle Of The Neck

Front 1

Congenital Torticollis:

The most common type is a result of a fibrous tissue tumor (fibromatosis colli) that develops in the ___ muscle prior to birth

During birth, when the infants head is pulled too much, this can result in tearing fibers of the sternocleidomastoid – a hematoma usually occurs that becomes a fibrotic mass that entraps a branch of the ___ nerve & thereby denervates part of the muscle

Back 1

-sternocleidomastoid
-spinal accessory
s. 27

Front 2

Spasmodic Torticollis:

Cervical ___ (abnormal tonicity), is commonly known as spasmodic torticollis or ___, usually begins between ages 20 & 60 years
It may involve any bilateral combination of lateral neck muscles, especially the ___ muscles
Symptoms are sustained turning, tilting, flexing or extension of the neck
Shifting the head laterally or anteriorly can occur involuntarily. The shoulder is usually elevated & anteriorly displaced on the side to which the chin turns
Most patients with these symptoms suffer neck pain

Back 2

-dystonia
-wry neck
-sternocleidomastoid & trapezius