Of fifty patients with the diagnosis of Klippel-Feil syndrome, less than half had the classic clinical triad of findings, while more than half had scoliosis, and a third had renal anomalies. All patients were at risk of having other serious, but less apparent, anomalies, including: Sprengel's deformity (twenty-one patients), impairment of hearing (fifteen patients), synkinesia (nine patients), and congenital heart disease (seven patients). The discovery of one of these lesions should, therefore, stimulate a careful search for associated anomalies.
Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan 48104
1425 South Main Street, Walnut Creek, California 94596
Alfred I. duPont Institute, P. O. Box 269, Wilmington, Delaware 19899