Beals’ syndrome /bēlz/ [Rodney Kenneth Beals, American orthopedic surgeon, 1931–2008] , an autosomal-dominant syndrome characterized by long, thin extremities with abnormally long fingers and toes, multiple joint contractures, kyphoscoliosis, and malformed ears; it is a form of hereditary bone dysplasia. Also called congenital arachnodactyly. Should not be confused with Marfan’s syndrome. ▪ OBSERVATIONS: Individuals with Beals’ syndrome are unable to fully extend joints. As a result, muscles can become tight and short, restricting movement. When contractures are present at birth, they can delay motor development. ▪ INTERVENTIONS: The treatment varies depending on presentation. A treatment team, usually composed of pediatricians, orthopedists, nurses, and occupational and physical therapists, is important to achieve normal life expectancy. Physical therapy will improve mobility of joints and strengthen muscles. Surgical procedures may be necessary to release joints and other parts of the body that are permanently contracted. Orthotic devices may be necessary. ▪ PATIENT CARE CONSIDERATIONS: Individuals with Beals’ syndrome should be monitored for cardiovascular complications.
