Skip to main content

Popliteal Pterygium Syndrome

  • Living reference work entry
  • First Online:
Atlas of Genetic Diagnosis and Counseling
  • 144 Accesses

Abstract

In 1968, Gorlin et al. (1968) described an autosomal dominant form of popliteal pterygium syndrome (PPS), a syndrome comprising cleft lip and palate, popliteal and intercrural pterygia, and digital and genital anomalies. Van der Woude syndrome (VWS) is one of the most common oral cleft syndromes. It accounts for about 2 % of all cleft lip and palate cases. Both syndromes are caused by IRF6 mutations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

References

  • Bartsocas, C. S., & Papas, C. V. (1972). Popliteal pterygium syndrome: Evidence for a severe autosomal recessive form. Journal of Medical Genetics, 9, 222–226.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Busche, A., Hehr, U., Sieg, P., et al. (2016). Van der Woude and popliteal pterygium syndromes: Broad intrafamilial variability in a three generation family with mutation in IRF6. American Journal of Medical Genetics Part A, 9999A, 1–4.

    Google Scholar 

  • De Lima, R. L. L. F., Hoper, S. A., Ghassibe, M., et al. (2009). Prevalence and non-random distribution of exonic mutations in Interferon Regulatory Factor 6 (IRF6) in 307 families with Van der Woude syndrome and 37 families with popliteal pterygium syndrome. Genetics in Medicine, 11, 241–247.

    Article  PubMed  Google Scholar 

  • De Medeiros, F., Hansen, L., Mawlad, E., et al. (2008). A novel mutation in IRF6 resulting in VWS-PPS spectrum disorder with renal aplasia. American Journal of Medical Genetics Part A, 146A, 1605–1608.

    Article  PubMed  Google Scholar 

  • Erturan, G., Holton, J., Wall, S., et al. (2016). Bartsocas-Papas syndrome: A case report and review of the literature. Annals of Plastic Surgery, 76, 459–462.

    Article  CAS  PubMed  Google Scholar 

  • Ferreira de Lima, R. L. L., Hoper, S. A., Ghassibe, M., Cooper, M. E., et al. (2009). Prevalence and non-random distribution of exonic mutations in Interferon Regulatory Factor 6 (IRF6) in 307 families with Van der Woude syndrome and 37 families with popliteal pterygium syndrome. Genetics in Medicine, 11, 241–247.

    Article  CAS  PubMed Central  Google Scholar 

  • Froster-Iskenius, U. G. (1990). Popliteal pterygium syndrome. Journal of Medical Genetics, 27, 320–326.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Funk, S. S., block, J. J., Martus, J. E., et al. (2015). Symptomatic accessory medial meniscus associated with popliteal pterygium syndrome. Journal of Pediatric Orthopedics, 35, e76–e79.

    Article  PubMed  Google Scholar 

  • Gahm, C., Kuylenstierna, R., & Papatziamos, G. (2007). Popliteal pterygium syndrome (PPS) with intra-alveolar syngnathia: A discussion of anesthetic and surgical considerations. International Journal of Pediatric Otorhinolaryngology, 71, 1613–1616.

    Article  PubMed  Google Scholar 

  • Gardetto, A., & Piza-Katzer, H. (2003). A case of familial popliteal pterygium syndrome: Early surgical intervention for successful treatment. Pediatric Surgery International, 19, 612–614.

    Article  PubMed  Google Scholar 

  • Giannotti, A., DiGilio, M. C., Standoli, L., et al. (1992). New case of Bartsocas-Papas syndrome surviving at 20 months. American Journal of Medical Genetics, 42, 733–735.

    Article  CAS  PubMed  Google Scholar 

  • Gorlin, R. J., Sedano, H. O., & Cervenka, J. (1968). Popliteal pterygium syndrome. A syndrome comprising cleft lip-palate, popliteal and intercrural pterygia, digital and genital anomalies. Pediatrics, 41, 503–509.

    CAS  PubMed  Google Scholar 

  • Gorlin, R. J., Cohen, A. A., & Hennekam, R. C. M. (2001). Syndromes of the head and neck (Vol. 4). Oxford: Oxford University Press.

    Google Scholar 

  • Hall, J. G., Reed, S. D., Rosenbaum, K. N., et al. (1982). Limb pterygium syndromes: A review and report of eleven patients. American Journal of Medical Genetics, 12, 377–409.

    Article  CAS  PubMed  Google Scholar 

  • Hennekam, R. C. M., Huber, J., & Vriend, D. (1994). Bartsocas-Papas syndrome with internal anomalies: Evidence for a more generalized epithelial defect or new syndrome? American Journal of Medical Genetics, 53, 102–107.

    Article  CAS  PubMed  Google Scholar 

  • Herold, H. Z., Shmueli, G., & Baruchin, A. M. (1986). Popliteal pterygium syndrome. Clinical Orthopaedics and Related Research, 209, 194–197.

    PubMed  Google Scholar 

  • Houweling, A. C., Gille, J. J. P., Baart, J. A., et al. (2009). Variable phenotypic manifestation of IRF6 mutations in the Van der Woude syndrome and popliteal pterygium syndrome: Implications for genetic counseling. Clinical Dysmorphology, 18, 225–227.

    Article  PubMed  Google Scholar 

  • Kalay, E., Sezgin, O., Chellappa, V., et al. (2012). Mutations in RIPK4 cause the autosomal-recessive form of popliteal pterygium syndrome. American Journal of Human Genetics, 90, 76–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Katsube, M., Yoshiura, K.-i., & Kusumoto, K. (2015). A Japanese family with popliteal pterygium syndrome. Case Reports in Plastic Surgery & Hand Surgery, 2, 50–52.

    Article  Google Scholar 

  • Kim, H. M., Park, I. J., & Jeong, C. (2009). Treatment of popliteal pterygium using an Ilizarov external fixator. Clinics in Orthopedic Surgery, 1, 236–239.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kondo, S., Schutte, B. C., Richardson, R. J., et al. (2002). Mutations in IRF6 cause Van der Woude and popliteal pterygium syndromes. Nature Genetics, 32, 285–289.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lahtela, J., Nousiainen, H. O., Stefanovic, V., et al. (2010). Mutant CHUK and severe fetal encasement malformation. New England Journal of Medicine, 363, 1631–1637.

    Article  CAS  PubMed  Google Scholar 

  • Lees, M. M., Winter, R. M., Malcolm, S., et al. (1999). Popliteal pterygium syndrome: A clinical study of three families and report of linkage to the Van der Woude syndrome locus on 1q32. Journal of Medical Genetics, 36, 888–892.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Leslie, E. J., O’Sullivan, J., Cunningham, M. L., et al. (2015). Expanding the genetic and phenotypic spectrum of popliteal pterygium disorders. American Journal of Medical Genetics Part A, 167A, 545–552.

    Article  PubMed  Google Scholar 

  • Little, H. J., Rorick, N. K., Su, L. I., et al. (2009). Missense mutation that cause Van der Woude syndrome and popliteal pterygium syndrome affect the DNA-binding and transcriptional activation functions of IRF6. Human Molecular Genetics, 18, 535–545.

    Article  CAS  PubMed  Google Scholar 

  • Martinez-Frias, M. L., Frias, J. L., Vazquez, I., et al. (1991). Bartsocas-Papas syndrome: Three familial cases from Spain. American Journal of Medical Genetics, 39, 34–37.

    Article  CAS  PubMed  Google Scholar 

  • Massoud, A. A., AAmmaari, A. N., Khan, A. S. S., et al. (1998). Bartsocas-Papas syndrome in an Arab family with four affected sibs: Further characterization. American Journal of Medical Genetics, 79, 16–21.

    Article  CAS  PubMed  Google Scholar 

  • Mitchell, K., O’Sullivan, J., Missero, C., et al. (2012). Exome sequence identifies RIPK4 as the Bartsocas-Papas syndrome locus. American Journal of Human Genetics, 90, 69–75.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mubungu, G., Lumaka, A., Matondo, R., et al. (2014). Skinfold over toenail is pathognomonic for the popliteal pterygium syndrome in a Congolese family with large intrafamilial variability. Clinical Case Reports, 2, 250–253.

    Article  PubMed  PubMed Central  Google Scholar 

  • Papadia, F., & Zimbalatti, F. (1984). Gentile la Rosa C: The Bartsocas-Papas syndrome: Autosomal recessive form of popliteal pterygium syndrome in a male infant. American Journal of Medical Genetics, 17, 841–847.

    Article  CAS  PubMed  Google Scholar 

  • Posey, J. E., Dariya, V., Edmonds, J. L., et al. (2014). Syngnathia and obstructive apnea in a case of popliteal pterygium syndrome. European Journal of Pediatrics, 173, 1741–1744.

    Article  PubMed  PubMed Central  Google Scholar 

  • Qasim, M., & Shaukat, M. (2012). Popliteal pterygium syndrome: a rare entity. APSP Journal of Case Reports, 3, 1–3.

    Google Scholar 

  • Reich, E., Wishnick, M., McCarthy, J., et al. (1984). Long term follow up in an 8-year old with the “lethal” popliteal pterygium syndrome (Bartsocas-Papas syndrome). American Journal of Medical Genetics, 17, 841–847.

    Article  Google Scholar 

  • Schutte, B. C., Saal, H. M., Goudy, S., et al. (2014). IRF6-related disorders. GeneReviews. Retrieved 3 July 2014. Available at: http://www.ncbi.nlm.nih.gov/books/NBK1407/

  • Tripathi, A., Tiwari, B., Gupta, S., et al. (2014). A case of vander woude syndrome with rare phenotypic expressions. Journal of Clinical and Diagnostic Research, 8, PD03–PD05.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harold Chen .

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media New York

About this entry

Cite this entry

Chen, H. (2016). Popliteal Pterygium Syndrome. In: Atlas of Genetic Diagnosis and Counseling. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6430-3_195-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6430-3_195-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Online ISBN: 978-1-4614-6430-3

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

Publish with us

Policies and ethics