KID syndrome patient with toe walking: a case report

Area of Science:

• Pediatric Orthopedics
• Genetics
• Neurology

Background:

• KID syndrome is a rare genetic disorder.
• Toe walking can be a symptom of underlying musculoskeletal or neurological conditions.

Observation:

• A 10-year-old boy with KID syndrome presented with new-onset unilateral toe walking.
• Clinical evaluation revealed equinus contracture of the Achilles tendon.

Findings:

• The patient underwent surgical lengthening of the Achilles tendon.
• Post-surgery, a 6-week casting period was followed by a stretching rehabilitation program.
• Successful heel-to-toe gait was achieved within 3 weeks of completing the rehabilitation.

Implications:

• Surgical intervention for Achilles tendon contracture may be an effective treatment for toe walking in children with KID syndrome.
• A comprehensive postsurgical rehabilitation program is crucial for optimal outcomes.
• This case highlights the importance of evaluating and treating contractures in pediatric patients with genetic syndromes.