Treatment of congenital clubfoot in a patient with Jacobsen syndrome using Ponseti method: A case report

Abstract

Introduction. Jacobsen syndrome, characterized by multiple developmental anomalies, is a rare genetic syndrome caused by a partial deletion of the long arm of the 11th chromosome. The incidence is 1 : 100,000 live births. Patients of this group have malformations of the heart, kidneys, gastrointestinal tract, central nervous system, and skeleton. The severity of clinical features is diverse. Jacobsen syndrome rarely combines with a congenital clubfoot.
 Case report. The clinical case of using the Ponseti method for the treatment of congenital clubfoot in combination with Jacobsen syndrome is presented. As a result, a complete primary correction of the foot was obtained, which did not relapse within 2 years.
 Discussion. Only brief references to this pathology were found in the literature. In the case of our patient, a greater number of gypsum dressings were required to complete the primary correction of the foot.
 Conclusion. Painless foot has been achieved, which has a full range of motion, which confirms the success of the application of the Ponseti method for the treatment of non-idiopathic congenital clubfoot and the need for using it as a starting method.

Jacobsen syndrome. Literature review and a case report

“…Лицевой дисморфизм и аномалии скелета выражены у всех пациентов с рождения; описаны следующие нарушения: тригоноцефалия, гипертелоризм, косоглазие, птоз, широкая переносица, маленький вздернутый нос, тонкая верхняя губа, аномалии зубного ряда, низко посаженные ушные раковины, короткая широкая шея, синдактилия, клинодактилия, врожденная косолапость [11,15,19].…”