Diagnosis and Management of Freeman-Burian Syndrome: A Case Report

  Abstract: Introduction: Freeman Sheldon syndrome is a rare genetic disease of varying severity with craniocarpotarsal manifestations, which has many difficulties in orthopedic management also anaesthetic concerns about intubation difficulties and malignant hyperthermia and mutch tendency...

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Main Authors: Aidin Arabzadeh, Hossein Azaditalab, Hesam Alitaleshi, Mohammad Reza Abbaszadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-12-01
Series:Journal of Orthopedic and Spine Trauma
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Online Access:https://jost.tums.ac.ir/index.php/jost/article/view/568
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author Aidin Arabzadeh
Hossein Azaditalab
Hesam Alitaleshi
Mohammad Reza Abbaszadeh
author_facet Aidin Arabzadeh
Hossein Azaditalab
Hesam Alitaleshi
Mohammad Reza Abbaszadeh
author_sort Aidin Arabzadeh
collection DOAJ
description   Abstract: Introduction: Freeman Sheldon syndrome is a rare genetic disease of varying severity with craniocarpotarsal manifestations, which has many difficulties in orthopedic management also anaesthetic concerns about intubation difficulties and malignant hyperthermia and mutch tendency of deformities for recurrence. Objective: Describe clinically manifestations of a patient with Freeman-Sheldon syndrome. Presentation of the case: An Iranian girl presents mask-like face, deep sunken eyes,ptosis, wide nasal bridge, small mouth with the facial typical appearance of a whistler, dental crowding and high narrow palate, skin dimple on the chin in the shape of an  H-shape and abnormally long philtrum. defect in the hands of typical windmill vane hand and clasped thumb deformity ,Resistant contracture of the fingers with ulnar deviation and bilateral  rigid clubfoot,  and failure to thrive. Conclusions: Freeman-Sheldon syndrome is a rare syndrome that mainly affects the face and upper and lower limbs of patients, whose clinical diagnosis is possible after a thorough physical examination. and it is best to start treatment without delay regarding future prognosis at least with nonoperative modalities.
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issn 2538-2330
2538-4600
language English
publishDate 2024-12-01
publisher Tehran University of Medical Sciences
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series Journal of Orthopedic and Spine Trauma
spelling doaj-art-2954b81b280e4c73a1b10c7dcb2342af2025-01-06T08:42:30ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002024-12-0110410.18502/jost.v10i4.17370Diagnosis and Management of Freeman-Burian Syndrome: A Case ReportAidin Arabzadeh0Hossein Azaditalab1Hesam Alitaleshi2Mohammad Reza Abbaszadeh31 Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.M.D. Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.MD, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran   Abstract: Introduction: Freeman Sheldon syndrome is a rare genetic disease of varying severity with craniocarpotarsal manifestations, which has many difficulties in orthopedic management also anaesthetic concerns about intubation difficulties and malignant hyperthermia and mutch tendency of deformities for recurrence. Objective: Describe clinically manifestations of a patient with Freeman-Sheldon syndrome. Presentation of the case: An Iranian girl presents mask-like face, deep sunken eyes,ptosis, wide nasal bridge, small mouth with the facial typical appearance of a whistler, dental crowding and high narrow palate, skin dimple on the chin in the shape of an  H-shape and abnormally long philtrum. defect in the hands of typical windmill vane hand and clasped thumb deformity ,Resistant contracture of the fingers with ulnar deviation and bilateral  rigid clubfoot,  and failure to thrive. Conclusions: Freeman-Sheldon syndrome is a rare syndrome that mainly affects the face and upper and lower limbs of patients, whose clinical diagnosis is possible after a thorough physical examination. and it is best to start treatment without delay regarding future prognosis at least with nonoperative modalities. https://jost.tums.ac.ir/index.php/jost/article/view/568Keywords: Craniocarpotarsal dysplasia; Distal arthrogryposis type 2A; Freeman-Burian syndrome; Freeman-Sheldon syndrome; Whistling face syndrome
spellingShingle Aidin Arabzadeh
Hossein Azaditalab
Hesam Alitaleshi
Mohammad Reza Abbaszadeh
Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
Journal of Orthopedic and Spine Trauma
Keywords: Craniocarpotarsal dysplasia; Distal arthrogryposis type 2A; Freeman-Burian syndrome; Freeman-Sheldon syndrome; Whistling face syndrome
title Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
title_full Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
title_fullStr Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
title_full_unstemmed Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
title_short Diagnosis and Management of Freeman-Burian Syndrome: A Case Report
title_sort diagnosis and management of freeman burian syndrome a case report
topic Keywords: Craniocarpotarsal dysplasia; Distal arthrogryposis type 2A; Freeman-Burian syndrome; Freeman-Sheldon syndrome; Whistling face syndrome
url https://jost.tums.ac.ir/index.php/jost/article/view/568
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AT hosseinazaditalab diagnosisandmanagementoffreemanburiansyndromeacasereport
AT hesamalitaleshi diagnosisandmanagementoffreemanburiansyndromeacasereport
AT mohammadrezaabbaszadeh diagnosisandmanagementoffreemanburiansyndromeacasereport