Maldonado MLC, Rincón-Lozano JD, Bossio JE, Martínez PRO, Martínez BI, Villanueva J, Bula ME

Language: Spanish
References: 12
Page: 24-28
PDF size: 2012.71 Kb.

ABSTRACT

Introduction: Rubinstein-Taiby syndrome (RTS) is a disease of genetic origin, of autosomal dominant inheritance, with a prevalence of 1/100,000-150,000 births. It presents with multiple morphological alterations, among which the musculoskeletal ones stand out. Foot deformities in TRS are not as frequent as in the upper limb, however, foot deformities can have repercussions on the patient's functionality depending on the severity and symptomatology. Case presentation: we present the case of a 12-year-old male with TRS with a history of management with the Ponseti method, who presents with multiplanar foot deformities due to bilateral hallux adductus deformity and residual deformity in supination and bilateral adductus of the foot. Surgical management with osteomuscular balance is proposed to improve the patient's functionality, evidenced during follow-up. Conclusions: deformities of the musculoskeletal system are frequent and can alter the patient's functionality. Foot deformities require surgical management to avoid alteration of functionality in certain cases. Correction with bone and musculotendinous procedures that compensate the deformity are necessary to avoid recurrence of deformities. A multidisciplinary approach is required to improve outcomes in patients with TRS.

REFERENCES

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EVIDENCE LEVEL

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