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FORTY-EIGHTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

JOHN G. KUHNS, M.D.; EDWIN F. CAVE, M.D.; SUMNER M. ROBERTS, M.D.; JOSEPH S. BARR, M.D.; JOSEPH A. FREIBERG, M.D.; JOSEPH E. MILGRAM, M.D.; GEORGE PERKINS; PHILIP D. WILSON, M.D.
Arch Surg. 1932;25(3):605-614. doi:10.1001/archsurg.1932.01160210174013.
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CONGENITAL DEFORMITIES 

Congenital Torticollis.  —Bargellini1 presented reports of three cases of congenital torticollis in which operation was performed when the patients were 35 days, 1½ months and 4 months of age, respectively. Two of the infants were delivered by podalic version and the third by an anomalous presentation, not specified. Abnormal inclination of the head and a tumor in the sternal head of the sternocleidomastoid muscle were noted by the mothers. At the time of operation definite facial asymmetry was seen by the author. A globular dusky mass was removed from the sternal head of the muscle, and both the sternal and clavicular attachments were severed; likewise the platysma and the deep cervical fascia. No anesthesia was used. Microscopic sections of specimens showed similar changes: intramuscular fibrosis, atypical growth in size and direction of muscular fasciculi and no evidence of hemorrhage. Postoperative therapy consisted of the weekly reapplication of

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