Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Klippel-Feil syndrome

Peter J. Curcione,D.O., Resident , William Mackenzie,M.D., THE ALFRED I. DUPONT INSTITUTE, WILMINGTON, DELAWARE

  • Klippel and Feil published there first work on Klippel- Feil Syndrome in 1912.
  • KFS includes short neck, low hair line, restriction of neck motion and fusion of at least two cervical segments.
  • Original classification as described by Feil is based on the extent of fusion but is not clinically useful.
  • Etiology is unknown. What is known is that there is a failure of the normal segmentation of cervical somites during the third and eighth weeks of gestation.
  • Must always be aware of the associated anomalies that occur in KFS. Some hidden anomalies can be fatal.
CLINICAL FINDINGS:
  • Classic triad of low posterior hair line, short neck and limited neck ROM found in less than 50% of cases. The most consistent finding is limited cervical ROM.
  • Generally flexion and extension are better preserved than side- bending and rotation.
  • Patients have the ability to compensate at the unfused segments. These inter-spaces can become extremely hypermobile.
  • 20% of patients may show facial asymmetry, torticollis and neck webbing.
  • Spregel' s deformity occurs in approximately 35% of cases.
  • Ptosis of the eye, Duane's eye contracture, lateral rectus palsy, facial nervepalsy and cleft palate.
  • Upper extremity abnormalities, ie. syndactyly, hypoplastic thumb, supernumary digits and hypoplasia of the upper extremity.


This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 05 April 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Lower Limb
Paediatric Spine
Arthritis in Children
Bibliography, Links & Recommended R...
Birth injuries
Cerebral palsy
Cerebral Palsy - Treatment
Childhood Upper extremity problems
Eastwood / Cole Method
Ellis-van Creveld Syndrome
Fracture Principles in Paediatrics
Gait abnormalities
Genetic disorders
Haematopoietic Disorders
Hereditary Sensory & Motor Neur...
Klippel-Feil syndrome
Metabolic disease
Metaphyseal Chondrodysplasia Case
Neuromuscular disorders
Orthopaedic embryology
Orthopaedic infections in children
Orthopaedic infections in children ...
Osteogenisis Imperfecta
Poliomyelitis
Skeletal dysplasias
Hide Menu