Pediatric Radiology

, Volume 43, Issue 12, pp 1566–1572 | Cite as

Value of adding sonoelastography to conventional ultrasound in patients with congenital muscular torticollis

  • So-Yeon Lee
  • Hee-Jin ParkEmail author
  • Yoon Jung Choi
  • Seon Hyeong Choi
  • Shin Ho Kook
  • Myong-Ho Rho
  • Eun Chul Chung
Original Article



Sonoelastography has been utilized to evaluate various myopathies. However, the benefits of adding sonoelastography to conventional ultrasound (US) in patients with congenital muscular torticollis are unclear.


To evaluate the value of adding sonoelastography to conventional US in patients with congenital muscular torticollis.

Materials and methods

This study included 27 infants clinically diagnosed with congenital muscular torticollis and 17 healthy infants who underwent conventional US and sonoelastography. The echogenicity of the sternocleidomastoid muscle was assessed as isoechoic, heterogeneous, hyperechoic or hypoechoic compared with normal muscle. The thickness of the involved and contralateral sternocleidomastoid muscles was measured. Elastographic findings were scored from 1 (soft) to 3 (hard) by two independent radiologists.


The sternocleidomastoid muscle thickness, difference and ratio between involved and normal sternocleidomastoid muscle thickness, and elastographic score differed significantly between the patient and control groups. Of the 27 patients, 11 had isoechoic, 5 had heterogeneous and 11 had hyperechoic muscles. Congenital muscular torticollis patients with isoechoic muscle showed significantly higher elastographic scores than the control group, but there were no other significant differences by conventional US.


Adding sonoelastography to conventional US is helpful for the diagnosis of congenital muscular torticollis, especially in patients with isoechoic sternocleidomastoid muscle.


Sternocleidomastoid muscle Ultrasound Elastography Torticollis Child Infant 


Conflicts of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.


Nothing to disclose.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • So-Yeon Lee
    • 1
  • Hee-Jin Park
    • 1
    Email author
  • Yoon Jung Choi
    • 1
  • Seon Hyeong Choi
    • 1
  • Shin Ho Kook
    • 1
  • Myong-Ho Rho
    • 1
  • Eun Chul Chung
    • 1
  1. 1.Departments of Radiology, Kangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoulSouth Korea

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