Background: Arthrogryposis multiplex congenita, or multiple congenital contractures, is a non progressive syndrome characterized by deformed, rigid joints. This case report as to its etidogy, clinical, pathophysiological, diagnostic, therapeutic, as well as prognostication purposes.
Methods: A 12-year old female, child admitted at Department of Orthopaedic Surgery, Vicente Sotto Memorial Medical Center was made as the subject of this case report. History, physical examination and diagnostic work-up were reviewed and we found out that the data of the subject was consistent with Arthrogryposis.
Results: Arthrogryposis multiplex congenita is a nonprogressive syndrome characterized by deformed, rigid joints. the incidence of Arthrogryposis is 1 in 3000 live births. The involved muscles or muscle groups are atrophied or absent. The involved extremities appear cylindrical, fusiform, or cone-shaped and have diminished skin creases and subcutaneous tissue. Contracture of the joint capsule and is common, especially of the hip and knee. Sensation and intellect are normal. Deformities may result from neurogenic, myogenic, skeletal, or environmental factors, most are neurogenic in origin. Diagnosing Arthrogryposis is made based on clinical features of this disorder. There is no known medical treatmetn noted that would treatment noted that would modify this disease entity however surgical intervention is the one recommended.
Conclusion: Even though we seldom encounter Arthrogryposis, this should always be included as differential diagnosis in patients presenting and radio graphic studies is the gold standard in diagnosing this disorder. Management would include physiotherapy improving the range of movement, however, surgery is still the mainstay with the goal of improving the function. The prognosis is good. With proper management, most patients live independently and hold useful jobs.
The objective of this case report is to discuss Arthrogrypsis as to its etiology, clinical, pathophysiologic, diagnostic, therapeutic and pragnostic features.