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Congenital Muscular Torticollis — Consider Specialist Referral for the Following Findings — Clinical Pathway: Outpatient Specialty Care and Primary Care

Congenital Muscular Torticollis Clinical Pathway — Outpatient Specialty Care and Primary Care

Consider Specialist Referral for the Following Findings

Indication Service
CMT that has failed conservative management < 3 months Pediatric Rehabilitation Medicine
New onset head tilt < 6 mos age
Severe plagiocephaly or brachycephaly Plastics
Decreased or increased muscle tone, history of hypoxic-ischemic encephalopathy or perinatal stroke Neurology
Nystagmus, strabismus (particularly when tilting the child's head to the opposite side), or other oculomotor abnormalities Ophthalmology
Neurology
Skeletal abnormalities Orthopedics
Genetics
Abnormal facial features Genetics
If < 3 months old with unclear CMT Physical Therapy

 

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