{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:59Z","timestamp":1756425839047,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,2]]},"abstract":"<jats:p>We describe two proof-of-concept trials of delayed non-operative therapy of multiple hand and wrist contractures in a woman with a severe expression of Freeman-Sheldon syndrome (FSS), at ages 24 and 28\u2005years. Having presented as an infant to a university referral centre, passive correction was not accompanied by strengthening exercises, and correction was lost. FSS is described as a myopathic distal arthrogryposis; diagnosis requires the following: microstomia, whistling face appearance, H-shaped chin dimpling, nasolabial folds, and multiple hand and foot contractures. Spinal deformities, metabolic and gastroenterological problems, other craniofacial characteristics, and visual and auditory impairments, are frequent findings. To avoid possible FSS-associated complications of malignant hyperthermia and difficult intubation, and to reduce or eliminate need for surgery, we proceeded with passive manipulation without anaesthesia or sedation. We believe this is the first report of attempted non-operative correction of multiple hand and wrist contractures in an adult with FSS.<\/jats:p>","DOI":"10.1136\/bcr-2015-210935","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T04:29:10Z","timestamp":1436848150000},"page":"bcr2015210935","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Preliminary experience with delayed non-operative therapy of multiple hand and wrist contractures in a woman with Freeman-Sheldon syndrome, at ages 24 and 28\u2005years"],"prefix":"10.1136","volume":"2015","author":[{"given":"Rodger J","family":"McCormick","sequence":"first","affiliation":[{"name":"Department of Applied Physiology, FSRG deGruyter-McKusick Institute of Health Sciences, Buckhannon, West Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3134-1580","authenticated-orcid":false,"given":"Mikaela I","family":"Poling","sequence":"additional","affiliation":[{"name":"Department of Applied Physiology, FSRG deGruyter-McKusick Institute of Health Sciences, Buckhannon, West Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto L","family":"Portillo","sequence":"additional","affiliation":[{"name":"Department of Applied Physiology, FSRG deGruyter-McKusick Institute of Health Sciences, Buckhannon, West Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert L","family":"Chamberlain","sequence":"additional","affiliation":[{"name":"Department of Applied Physiology, FSRG deGruyter-McKusick Institute of Health Sciences, Buckhannon, West Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"2025082803262622000_2015.jul14_1.bcr2015210935.1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.13.75.277"},{"key":"2025082803262622000_2015.jul14_1.bcr2015210935.2","unstructured":"McKusick VA . Online mendelian inheritance in man, OMIM\u2122. Baltimore: Johns Hopkins University. MIM Number: #193700. 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