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Doody's Review ServiceReviewer: Kit M. Song, MD (University of Washington School of Medicine)
Description: Torticollis is a physical sign for many pathologic problems in children. Many practitioners who care for children will encounter this common problem. This new book describes the differential diagnoses to be considered when evaluating children with torticollis and reviews treatments for muscular torticollis emphasizing therapy programs.
Purpose: The stated purpose of the book is to share information on the clinical management of torticollis by physicians, surgeons, and therapists.
Audience: The intended audience is physicians, therapists, and surgeons who see children with this problem. It is an appropriate resource for any primary care practitioner or student who evaluates children for musculoskeletal problems.
Features: This text begins with a discussion of the etiologies of torticollis and then focuses on management of the most common type, congenital muscular torticollis. A brief review of the natural history of this condition and an extensive discussion of the evaluation and manipulative treatment follow along with instructions for a home program of therapeutic exercises. The rationale for treatment is exhaustively and redundantly presented. Clinical photographs and diagrams are often used to highlight points in the management of this very visible condition. Unfortunately, many reproduced poorly and lose their effect. There is an appropriately brief section on the surgical management of refractory cases. All sections are well-referenced, current, and written by contributors experienced in the field.
Assessment: This text accomplishes many of the purposes set forth by the editor. It provides a useful multidisciplinary review of a poorly documented subject. It will have limited usefulness to a busy practitioner as the therapy sections are too detailed and highly subjective, obscuring the useful technical points made by the contributors. It will be most helpful to those who treat children with congenital muscular torticollis and who desire more in-depth knowledge and a template for a treatment program developed by therapists experienced in the area.