KARNATAKA PEDICON 2006

Vanaki R N (PG student), Kalyanshettar S S (Asst.Prof), Patil S V (Prof), Akki A S (Prof & HOD),
Dept. of Pediatrics, B.M.Patil Medical College, Bijapur.

We are reporting 3 cases Arthrogryposis Multiplex Congenita (AMC) presented to us with multiple joint contractures since birth, which was non progressive with variable degree of joint involvement involving both upper and lower limbs. Diagnosis was mainly on clinical parameters. Approximately 150 different syndromes occurring with multiple congenital contractures are categorized as Arthrogryposis. Amyoplasia is the most common type and overall incidence is 1 in 3000 births. Amyoplasia Congenita refers to classic syndrome in which there is involvement of upper and lower extremities and accounts for 40% of children who have multiple congenital contractures. Most cases are Idiopathic. Radiographs should be obtained in all cases presenting with AMC. Screening radiographs of the spine and pelvis are necessary to evaluate spinal abnormality and hip dysplasia. Routine laboratory studies are not useful in cases of amyoplasia. Muscle biopsy and creatinine phosphokinase estimation and chromosomal studies done occasionally when other syndromes suspected. Management is multi-speciality treatment by physical therapeutists, surgeons, orthopedicians, occupational rehabilitation trainers.

Keywords: Arthrogryposis, Amyoplasia

Karnataka Pedicon 2006 - Conference Abstracts. Pediatric Oncall [serial online] 2006 [cited 15 November 2006(Supplement 11)];3. Available from:
http://www.pediatriconcall.com/fordoctor/Conference_abstracts/
KARNATAKA_PEDICON/arthrogryposis_multiplex_congenita.asp