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Congenital Muscular Torticollis (CMT) is a congenital deformity characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion.The typical clinical element is a firm mass sized between 1 to 3 cm which causes shortening of the sternocleidomastoid and it is normally palpable at 1 to 4 weeks of age. Although this lesion has been considered as an hematoma formation, the presence of hemosiderin has not been revealed in pathological specimens of excised masses and additionally ultrasonography, and Computerized Tomography often record isoechoic or homogeneous findings. Most of cases resolve within the first year after birth. Nevertheless this firm still painless fibrotic tissue in severe cases subsequently results in secondary plagiocephaly and skull and facial asymmetry.
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