Hematoma of the sternomastoid muscle detected in a 16 days old infant requires:
Correct Answer: No immediate therapy
Description: Sternomastoid tumour/Hematoma
Presents at about 7-10 days after birth
Situated at the junction of upper and middle third of the muscle
Etiology: rupture of sternocleidomastoid muscle fibres and blood vessels, due to:
– hematoma and cicatricial contracture
– Difficult breech delivery
– Attempted delivery after shoulder dystocia
– Excessive lateral flexion of neck following normal delivery.
Clinical features: Transient torticollis
Treatment:
– No treatment required, disappears spontaneously by 6 months of age
– Gentle movements and stretching of muscle done after feeds is useful
– Do not massage.
Category:
Gynaecology & Obstetrics
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