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Congenital contractures and distinctive phenotypic features consistent with Stuve-Wiedmann syndrome in a male infant
Ali Al Kaissi1, Monika Rumpler, Robert Csepan
1Ludwig Boltzmann Institute of Osteology, at the Hanusch Hospital of WGKK and, AUVA Trauma Centre Meidling, 4th Medical Department, Hanusch Hospital, Vienna, Austria. ali.alkaissi@osteologie.at.
Insights
This case report highlights Stüve-Wiedemann syndrome (SWS), a rare condition presenting with contractures and an expressionless face. Early diagnosis is crucial for proper management of this syndromic malformation complex.
Area of Science:
- Pediatric genetics
- Clinical dysmorphology
- Rare disease research
Background:
- Multiple contractures and expressionless face in infants can be misdiagnosed.
- Etiological understanding is key to categorizing children with multiple contractures.
- Excluding neuromuscular disease is essential when evaluating such cases.
Purpose of the Study:
- To report a case of Stüve-Wiedemann syndrome (SWS) in an infant.
- To emphasize the importance of interpreting unusual clinical and radiographic features.
- To contribute to the understanding of SWS, particularly in consanguineous families.
Main Methods:
- Clinical presentation of a 3-month-old infant with phenotypic and radiographic features of SWS.
- Review of literature regarding SWS and its allelic relationship with Schwartz-Jampel syndrome type 2.
Main Results:
- The infant's presentation was consistent with Stüve-Wiedemann syndrome.
- This may be the first reported case of SWS in a consanguineous family in Austria.
Conclusions:
- Congenital hip limitations may suggest congenital hip dislocation but require further investigation.
- Stüve-Wiedemann syndrome is a distinct pathological entity.
- SWS and Schwartz-Jampel syndrome type 2 are considered allelic conditions, and SWS may be underreported.
Introduction:
Expressionless face associated with multiple contractures has been encountered in an infant. There is a wide range of misconception regarding the categorization of children with multiple contractures among different pediatric disciplines. The fundamental element in categorizing children with multiple contractures is "the etiological understanding". In the absence of concomitant neuromuscular disease, however, the search for other reasons is mandatory. Our present paper signifies the necessity of proper interpretations of unusual clinical and radiographic features.
Case Presentation:
We describe a 3-months-old-infant presented with the phenotypic and the radiographic features consistent with the diagnosis of Stüve-Wiedemann syndrome. We report what might be the first clinical report of Stüve-Wiedemann syndrome from a consanguineous family in Austria.
Conclusion:
Congenital limitations of the hips in a newborn infant raise the possibility of " Congenital Hip Dislocation". As congenital hip dislocation is a dysplastic process. Here further knowledge by the pediatrician and the orthopaedic surgeon is needed. Our present patient appears to constitute a distinct pathological entity consistent with Stüve-Wiedemann syndrome (SWS). Superti-Furga et al, and Cormier-Daire et al, also suggest that Stüve-Wiedemann syndrome and Schwartz-Jampel syndrome type 2 are allelic conditions. We wish to stress that, given the rarity of syndromic malformation complex, our impression is that it is more common than it is reported.
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