Stiff Neck Causes

Description : For some authors, a compulsive attitude during fetal life lead to compression of the muscle from ischemic contracture of the shoulder resulting in crushing of its vessels. According to the embryonic theory, a Stiff Neck Causes would be an unusual nature inherent in the germ, the same causes may be attributed to the cranio-facial asymmetry. In these cases we can demonstrate a familiarity or inheritance. The pathological anatomy gives us a picture of a muscle length decreased, increased consistency, color tends towards white tendon.

Type: University

Full text : For some authors, a compulsive attitude during fetal life lead to compression of the muscle from ischemic contracture of the shoulder resulting in crushing of its vessels.
According to the embryonic theory, a Stiff Neck Causes would be an unusual nature inherent in the germ, the same causes may be attributed to the cranio-facial asymmetry.
In these cases we can demonstrate a familiarity or inheritance.
The pathological anatomy gives us a picture of a muscle length decreased, increased consistency, color tends towards white tendon.
The fascia is thickened and the muscle fibers tend to be replaced by fibrous connective tissue.

Analyzed by microscopy, the connective tissue dissociates the abnormal muscle bundles that undergo major structural alterations of degenerative type.
The sternal head is usually more interested.
Clinically, the attitude is characteristic: the head is closer to the shoulder and the face is turned toward the side opposite the lesion and chin is slightly raised.
The sternocleidomastoid muscle under the skin is taut as a rope, while the shoulder is raised from the side of the deformity.

Over time, the retraction and the size of the muscle increases. Where “the retraction of the sternal head is rotated to the head bent, if it prevails the clavicular head, which is bent open. The craniofacial asymmetry is the rule even if more or less pronounced.

The emiviso ipsilateral hypoplastic so that the rhyme becomes the eyes and lips are oblique and converge towards an imaginary center spot on the side of the lesion and the median vertical line of the face is not straight but is concave side of the lesion (scoliosis of the face).

The skull is asymmetrical hypoplasia to migraine corresponding to the side of the lesion. These changes, which are accentuated with the passage of time, are related to changes in the trophic stimulus to start the cervical spinal cord or in connection with the cervical sympathetic.
Very often you look at the cervical or scoliosis cervicodorsale, with the concave side of the Stiff Neck Causes, which can be a single curve or curve of compensation back injury. At palpation the sternocleidomastoid tendon appreciates consistency, hard, tense, especially in the most distal portion, not painful. The picture may be more evident against the head of both in relation to the prevalence of the lesion.

The maneuvers aimed at correcting the attitude spoiled highlight the retraction that stands under the skin. It is possible the movement of flexion-extension.

Sometimes with palpation or with forced maneuvers are unable to appreciate the presence of cords in the context of the more superficial platysma, which is also retracted.
Therapy should be initiated as soon as possible to prevent the onset of irreversible deformity described.

In children under one year, with mild forms, is often enough to make proper handling, in older children may be applied Schanz collar cotton and gauze or braces made of plastic.
Exceeded one year of age, treatment is often surgical and consists of open tenotomy of one or both ends of the distal muscle.

In severe cases, you should perform a proximal tenotomy, which is also cutting the tendon at its insertion in the mastoid. Schanz collar follows immediately after the procedure, so minerva cast for 40-60 days, and finally orthopedic brace for at least 2 months and appropriate physiotherapy.

Recurrence, not rare, are usually due to a partial tenotomy, but can also be caused by a rapid healing of the tendon stumps. The asymmetries of the face resolve spontaneously in most cases, if made early in life.

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