Asymmetry in infancy is a diagnosis with a large spectrum of features, expressing an abnormal shape of parts of the body or unequal postures and movements. Symptoms may be structural and/or functional, with localised or generalised expression. Within the last decade, many professionals have focused on the adverse consequences on motor performance of infants, associated with the recommendations on the prevention of sudden infant death. The purpose of the present study was to highlight different aspects of asymmetry in infancy based on best available evidence in the current literature and to present a flow chart illustrating different diagnostic pathways of asymmetry in infancy. Conclusion: We conclude that asymmetry in infancy is a diagnosis with a large spectrum of features and a multifactorial aetiology without consensus in definition, nomenclature and classification. Systematic diagnostic management of asymmetry in infancy is indicated. The presented diagnostic flow chart might serve as a basis.

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European Journal of Pediatrics
Department of Plastic and Reconstructive Surgery

van Vlimmeren, L., Helders, P., van Adrichem, L., & Engelbert, R. (2004). Diagnostic strategies for the evaluation of asymmetry in infancy - A review. European Journal of Pediatrics (Vol. 163, pp. 185–191). doi:10.1007/s00431-004-1412-2