Challenge of the Week / Pediatrics/ 05.03.19

A 4-week-old female patient presents with head tilt to the right side and chin tilt to the left. A non-tender rubbery mass is noted with in the right sternocleidomastoid muscle. Her neck can be brought to neutral position and her neurological exam is normal. She is a full-term product of an unremarkable pregnancy and delivery. Which of the following is the next step in treatment for this patient?

Correct Answer:

  • Radiographs of the neck
  • Magnetic resonance imaging of the mass
  • Refer to physical therapy for neck range of motion
  • Ultrasound of the mass


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