Edit concept Question Editor Create issue ticket

Arthrogryposis Syndrome

Arthrogryposis Multiplex Congenita


Presentation

  • Of the PWS cases, 75% present paternal deletion of segment 15q11q13, 20 to 25% of the PWS present maternal uniparental disomy, and approximately 5% of the PWS present translocation or other structural chromosomal anomaly involving chromosome 15, around[nature.com]
  • Vertebral changes are often present (Figure 166.3). Figure 166.3. — Stuve-Widerman syndrome.[pediatricneuro.com]
  • […] ar·thro·gry·po·sis mul·'ti·plex con·gen·'i·ta [MIM*108110] limitation of range of joint motion and contractures present at birth, usually involving multiple joints; a syndrome probably of diverse etiology that may result from changes in spinal cord, muscle[medical-dictionary.thefreedictionary.com]
  • From the Greek literally means "curved or hooked joints." … Used to describe multiple joint contractures present at birth.[ibis-birthdefects.org]
Turkish
  • References Bayram Y, Karaca E, Coban Akdemir Z, Yilmaz EO, Tayfun GA, et al: Molecular etiology of arthrogryposis in multiple families of mostly Turkish origin. J Clin Invest 126:762-778 (2016).[karger.com]
Ear Deformity
  • Its features include arthrogrypotic finger contractures, a long, thin body habitus and ear deformities. It is autosomal dominant. It is one differential of Marfan's Syndrome but unlike the latter, there are no ocular or cardiovascular abnormalities.[gpnotebook.co.uk]
Lordosis
  • The lumbar lordosis increases with age as well; in adolescence, lumbar lordosis and popliteal and cubital webs increase in size.[slideshare.net]
Coxa Vara
  • The changes due to bone remodeling, as a result continuous muscle contraction are: flat face; hypognathium; pectus excavatum; pectus carinatum; bowing or external rotation of the femora, coxa vara, or valga; dysplasia or subluxation of the hips; retrocurvation[pediatricneuro.com]
  • 雑誌 Arthritis Res 4:337-45 (2002) DOI: 10.1186/ar595 文献 PMID: 15702367 著者 Shayan K, Ho M, Edwards V, Laxer R, Thorner PS タイトル Synovial pathology in camptodactyly-arthropathy-coxa vara-pericarditis syndrome.[genome.jp]

Workup

  • […] dislocations, esp knees); - Pena Shokeir syndrome (growth deficiency, unusual facial features, multiple ankylosis; - camptodactyly (when only a finger is involved); - talipes equinovarus; - congenital myasthenia gravis; - whistling face syndrome; - Initial Workup[wheelessonline.com]
  • The final diagnosis or underlying cause may not be known until a child can come to the USA and have a thorough workup by specialists.[adoption.umn.edu]

Treatment

  • Links: Marfan's syndrome arachnodactyly arthrogryposis General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition.[gpnotebook.co.uk]
  • , all children walked without crutches or canes; - authors recommend a complete circumferential capsulotomy followed by release of all contracted soft tissues; - references: - The hip in arthrogryposis multiplex congenita. - A plan of management and treatment[wheelessonline.com]
  • Treatment and management varies based on the case, though in general, there is no specific treatment for this syndrome. Description Last Updated: Jan 27, 2018[diseaseinfosearch.org]
  • With physical therapy and other available treatments, substantial improvement in joint function and mobility is normally possible.[rarediseases.info.nih.gov]
  • Treatment  This comprehensive approach is based on a triad of treatment tools:  Firstly, rehabilitation including physiotherapy, manipulation of contractures, and later social and occupational rehabilitation.  Secondly, individually tailored orthotic[slideshare.net]

Prognosis

  • Prognosis - Arthrogryposis multiplex congenita The prognosis is not well defined and therefore it is difficult to search, because of the small number of patients.[checkorphan.org]
  • Prognosis Prognosis depends on the underlying cause but most have a normal lifespan. If, however, there is a central nervous system problem in addition, about half of patients die in the first year.[patient.info]
  • Prognosis The prognosis depends on how severely affected an individual is and how many joints are involved. Some of the more severe cases may be associated with an early death due to sudden respiratory failure and difficulty breathing properly.[encyclopedia.com]
  • AMC can be associated with a variety of conditions that are each characterized by unique symptoms. [3] [1] In general, many people affected by AMC have a good prognosis.[rarediseases.info.nih.gov]
  • Arthrogryposis Complications Some of the complications associated with the disorder are: Pulmonary problems Scoliosis Growth retardation Midfacial hemangioma Facial and jaw variations Abdominal hernias Arthrogryposis Prognosis The severity of the condition[patienthelp.org]

Etiology

  • […] ar·thro·gry·po·sis mul·'ti·plex con·gen·'i·ta [MIM*108110] limitation of range of joint motion and contractures present at birth, usually involving multiple joints; a syndrome probably of diverse etiology that may result from changes in spinal cord, muscle[medical-dictionary.thefreedictionary.com]
  • Arthrogryposis (Multiple Congenital Contractures): Diagnostic Approach to Etiology, Classification, Genetics, and General Principles. Eur J Med Genet 2014;57:464-472. Filges I, Hall JG.[rarediseases.org]
  • Hall JG: Arthrogryposis multiplex congenita: etiology, genetics, classification, diagnostic approach, and general aspects. J Pediatr Orthop B-6:159–166, 1997. Google Scholar 32.[link.springer.com]
  • Internal rotation of the shoulders Involuntary twisting of the hands and forearms Stretching of the elbows Immobility of the ankle and wrists joints External rotation or dislocation of the hip Bending of the knee and foot Arthrogryposis Causes The exact etiologic[patienthelp.org]

Epidemiology

  • FSS No mutation detected – risk for FSS reduced but not eliminated Differential Diagnosis Sheldon-Hall syndrome Distal arthrogryposis type 1 Trismus-pseudocamptodactyly syndrome Congenital contractual arachnodactyly (Beals-Hecht syndrome) Background Epidemiology[arupconsult.com]
  • Epidemiology It may occur to some extent in 1 in 3,000 to 1 in 5,000 live births. [ 3 ] The condition is usually detected at birth or before by ultrasound examination. It is often secondary to other conditions.[patient.info]
  • Introduction Nonprogressive congenital disorder involving multiple rigid joints (usually symmetric) leading to severe limitation in motion Epidemiology incidence 1:3000 live births Mechanism symmetry of contractures due to immobilization in utero neurogenic[orthobullets.com]
  • Lethal congenital contracture syndrome (LCCS) and other lethal arthrogryposes in Finland--an epidemiological study. Am J Med Genet A. 2006 Sep 1. 140A(17):1834-9. [Medline]. Lin IW, Chueh HY, Chang SD, Cheng PJ.[emedicine.medscape.com]
  • Epidemiology The prevalence of arthrogryposis is about 1/3000 [ 3 ].[ojrd.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • […] inheritance – 70% of cases represent new mutations Mutations in MYH3 gene – 93% of cases 2 common missense mutations occur in exon 17 of MYH3 – 72% of FSS cases c.2014C T (p.R672C) c.2015G A (p.R672H) No other FSS-associated genes identified to date Pathophysiology[arupconsult.com]
  • […] congenital disorder involving multiple rigid joints (usually symmetric) leading to severe limitation in motion Epidemiology incidence 1:3000 live births Mechanism symmetry of contractures due to immobilization in utero neurogenic (90%) myopathic (10%) Pathophysiology[orthobullets.com]
  • […] characterized by multiple joint contractures found throughout the body at birth. [1] The designation is currently used in connection with a very heterogeneous series of disorders that all include the common feature of multiple congenital joint contractures. [2] Pathophysiology[emedicine.medscape.com]

Prevention

  • Arthrogryposis, Congenital multiple arthrogryposis, Fibrous ankylosis of multiple joints, Myodystrophia fetalis deformans, Congenital arthromyodysplasia Symptoms - Arthrogryposis multiplex congenita Causes - Arthrogryposis multiplex congenita Prevention[checkorphan.org]
  • However, it is necessary to seek treatment to prevent further impediments of the joints. What causes Arthrogryposis Multiplex Congenita? There are many causes of the disease, some of which are inherited.[aanem.org]
  • Prevention Genetic advice may be essential to prevent arthrogryposis. Extrinsically derived contractures have a low recurrence risk but the recurrence risk for intrinsically derived contractures depends on the aetiology.[patient.info]
  • Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Sheldon-Hall syndrome Sheldon-Hall syndrome, also known as distal arthrogryposis type 2B, is a disorder characterized by joint deformities (contractures) that restrict[icdlist.com]
  • … Research on animals has shown that anything which prevents normal joint movement before birth can result in joint contractures. The joint itself may be normal … Arthrogryposis Clinics Avenues, 2006 [Support Groups] A.I.[ibis-birthdefects.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!