Presentation
At present at least nine different types of amyoplasia are recognized. [scoliosisjournal.biomedcentral.com]
At maturity a bony connection is present between the shaft and head of femur but in some cases pseudarthrosis is present in the femoral neck which does not heal Class B: Femoral head is present in an adequate acetabulum, the femur is short, usually a [flinders.edu.au]
Of special value is the thorax and various conditions that exhibit that sign. presentation of variability of the condition with age. [books.google.com]
A syndromic form of AMC is suspected when developmental delays and/or other congenital anomalies are present, and such patients should be evaluated for CNS disorders and monitored for progressive neurologic symptoms. [msdmanuals.com]
A total of three of the cases reported presented co-infections at different points in their disease. [elsevier.es]
Entire Body System
- Short Stature
SHORT STATURE AND ADVANCED BONE AGE, WITH OR WITHOUT EARLY-ONSET OSTEOARTHRITIS AND/OR OSTEOCHONDRITIS DISSECANS; SSOAOD Is also known as osteochondritis dissecans, short stature, and early-onset osteoarthritis;od;osteochondritis dissecans and short stature [mendelian.co]
Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms). [ncbi.nlm.nih.gov]
[…] rib-polydactyly syndrome, Beemer-Langer type Short rib-polydactyly syndrome, Majewski type Short rib-polydactyly syndrome, Saldino-Noonan type Short rib-polydactyly syndrome, Verma-Naumoff type Short stature, Brussels type Short stature-auditory canal [se-atlas.de]
Stature After facial appearance, stature is most distinguishing. Stature may be short, normal, or tall. Short stature may be proportionate, such as in endocrinopathy, or disproportionate, such as skeletal dysplasias. [musculoskeletalkey.com]
- Dysostosis
Acrodysostosis Acrodysostosis with multiple hormone resistance Acrodysplasia scoliosis Acrofacial dysostosis Acrofacial dysostosis, Catania type Acrofacial dysostosis, Kennedy-Teebi type Acrofacial dysostosis, Palagonia type Acrofacial dysostosis, Rodríguez [se-atlas.de]
Q75.4 Mandibulofacial dysostosis Q75.5 Oculomandibular dysostosis Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
Breaking down the name, " craniofacial " refers to the skull and face, and "dysostosis" refers to synostosis (a union between adjacent bones or parts of a single bone). [wikidoc.org]
Orpha Number: 2840 Disease definition Pelvic dysplasia-arthrogryposis of lower limbs syndrome is a rare, genetic, dysostosis syndrome characterized by intrauterine growth restriction, short stature (with short lower segment), lower limb joint contractures [rarediseases.info.nih.gov]
Pelvic dysplasia-arthrogryposis of lower limbs syndrome is a rare, genetic, dysostosis syndrome characterized by intrauterine growth restriction, short stature (with short lower segment), lower limb joint contractures and muscular hypotrophy, narrow, [ncbi.nlm.nih.gov]
- Difficulty Walking
walking Prognosis May live many years Early degenerative joint disease develops Death may occur before the age of 20 due to chest infections or cardiac complications 2. [flinders.edu.au]
- Underweight
Effect of a milk-based food supplement on maternal nutritional status and fetal growth in underweight Chilean women. Am J Clin Nutr 1988;47:413-419. View abstract. [medlineplus.gov]
Fetus
- Reduced Fetal Movement
The basic cause is fetal akinesia (reduced fetal movements). The underlying cause can be environmental (lack of ability to move) or genetic (single gene conditions). [patient.info]
This leads to joint fixation and reduced fetal movement. Also muscle abnormalities could lead to reduce of fetal movement. Those could be: dystrophy, myopathy and mitochondrial disorders. [monsterologist.blogspot.com]
fetal movement. [2] Also muscle abnormalities could lead to a reduction of fetal movement. [en.wikipedia.org]
Skin
- Skin Disease
disease Rare skin disease Rare surgical thoracic disease Rare syndromic intellectual disability Rare systemic or rheumatologic disease Rare urogenital disease Recessive intellectual disability-motor dysfunction-multiple joint contractures syndrome Renier-Gabreels-Jasper [se-atlas.de]
Eyes
- Blue Sclera
Blue sclera Blue sclera in osteogenesis imperfecta. [wikidoc.org]
sclerae 60 33 frequent (33%) Frequent (79-30%) HP:0000592 10 sacrococcygeal pilonidal abnormality 60 33 frequent (33%) Frequent (79-30%) HP:0010767 11 arthrogryposis multiplex congenita 33 HP:0002804 Clinical features from OMIM: 602484 MalaCards organs [malacards.org]
[…] joints Limited joint mobility Limited joint motion [ more ] 0001376 Skeletal muscle atrophy Muscle degeneration Muscle wasting [ more ] 0003202 Slender long bone Long bones slender Thin long bones [ more ] 0003100 30%-79% of people have these symptoms Blue [rarediseases.info.nih.gov]
sclera throughout life Presenile hearing loss in 40% Fractures at birth in 10% Kypho-scoliosis in 20% II (1/62,000) Congenita Autosomal recessive Blue sclera Extreme bone fragility Often intrauterine or neonatal death III (Rare) Congenita (tarda) Autosomal [flinders.edu.au]
Download a 200K clip of achondrogenesis Osteogenesis imperfecta is a genetically heterogeneous group of disorders presenting with fragility of bones, blue sclerae, loose joints and growth deficiency. [sonoworld.com]
Musculoskeletal
- Hip Dislocation
[…] and treatment results in the arthrogrypotic hip. - Management of hip dislocations in children with arthrogryposis. - Medial approach open reduction of hip dislocation in amyoplasia type arthrogryposis. - Surgical management of hip dislocations in children [wheelessonline.com]
dislocation Dislocated hips Dislocation of hip [ more ] 0002827 Sacrococcygeal pilonidal abnormality 0010767 Spina bifida occulta 0003298 Percent of people who have these symptoms is not available through HPO Arthrogryposis multiplex congenita 0002804 [rarediseases.info.nih.gov]
This condition is often associated with developmental dysplasia of the hip, clubfoot, and metatarsus adductus. Congenital dislocation of the knee is 100 times less common than the congenital hip dislocation. [boneandspine.com]
HP:0003202 4 limitation of joint mobility 60 33 hallmark (90%) Very frequent (99-80%) HP:0001376 5 hypoplastic pelvis 60 33 hallmark (90%) Very frequent (99-80%) HP:0008839 6 slender long bone 60 33 hallmark (90%) Very frequent (99-80%) HP:0003100 7 hip [malacards.org]
Keywords Arthrogryposis Knee Dislocation Hip Dislocation Copyright © 2014, Thrita. [thritajournal.com]
- Muscular Atrophy
"Severe lethal spinal muscular atrophy variant with arthrogryposis". Pediatric Neurology. 32 (3): 201–4. doi : 10.1016/j.pediatrneurol.2004.10.003. PMID 15730903. [en.wikipedia.org]
atrophy type I, trisomy 18 ) have been linked to AMC. [msdmanuals.com]
atrophy ( 1 Files ) Disease name: Spinal muscular atrophy ICD 10 : G12.0 Infantile spinal muscle atrophy type I G12.1 Spinal muscle atrophy childhood form type II G12.1 Spinal muscle atrophy juvenile form type III Synonyms: Spinal muscle atrophy type [orphananesthesia.eu]
Spinal muscular atrophy (anterior horn cell disease of prenatal origin (SMA 0), not Werdnig-Hoffman (SMA 1). Congenital contracture syndrome (lethal). Cerebro-oculo-facial syndrome. Marden-Walker syndrome. Pena-Shokeir syndrome. [patient.info]
Arthrogryposis multiplex congenita distal (AMCD), also known as X-linked spinal muscular atrophy type 2 Gordon Syndrome, also known as Distal Arthrogryposis, Type 2A. [monsterologist.blogspot.com]
- Foot Deformity
In a number of congenital or acquired foot deformities such as acquired flat feet or bunions in the growing years, inlays are needed, which are always customised individually to the problems in the growing foot. [ortho-center.eu]
deformity (short, overlapping toes). [rarediseases.info.nih.gov]
Ray Peterson Scott syndrome 0 *Arthrogryposis *Fetal Growth Retardation *Foot Deformities, Congenital Pelvis/abnormalities. [reference.md]
Correction of foot deformities: 4 weeks. Ponseti bracing, and surgery with the goal of plantigrade and braceable feet to allow full weight bearing. Correction of knee deformities: 4 months. [now.aapmr.org]
- Lordosis
Hyperkyphosis was observed in 2 cases (74° and 73°); lumbar lordosis exceeded normal values in 5 cases; severe hyperlordosis was seen in 2 patients (103° and 82°) (Table 1 ). [scoliosisjournal.biomedcentral.com]
The lumbar lordosis increases with age as well; in adolescence, lumbar lordosis and popliteal and cubital webs increase in size. [slideshare.net]
[…] knee fracture Our Approach Browse Doctors knee injury Our Approach To: Knee Sprains, Strains & Tears Osgood-Schlatter Disease in Children Browse Doctors knee ligament tear Our Approach Browse Doctors kyphosis Our Approach Browse Doctors kyphosis with lordosis [nyulangone.org]
Spine deformities in arthrogryposis often require surgical correction, especially in case of lordosis of the thoracic spine [23]. W. [journals.eco-vector.com]
The characteristic features of heterozygous achondroplasia include short limbs, lumbar lordosis, short hands and fingers, macrocephaly with frontal bossing and depressed nasal bridge. [sonoworld.com]
- Joint Dislocation
Syndrome (Runner's Knee), Patellofemoral Tracking Disorders, Pediatric Orthopaedics, Plantar Fasciitis, Rotator Cuff, Rotator Cuff Injuries, Shoulder Dislocations, Shoulder Disorders, Shoulder Joint Dislocations, Shoulder Labral Tear, Shoulder Ultrasound [hopkinsmedicine.org]
[…] display mild elbow contractures, which should not be confused with arthrogryposis; - Joint motion limitation in newborns. - diff dx: - myelomeningocele ; - moebius syndrome; - larsen's sydndrome (multiple joint dislocations, esp knees); - Pena Shokeir [wheelessonline.com]
Case Presentation: We present a case of AMC with severe soft tissue and joints contractures, especially joints of lower limb and elbows, bilateral complete dislocation of hips (CDH) and knees (CDK) (type III), bilateral elbow joint dislocations and severe [thritajournal.com]
bilateral Congenital elbow dislocation, unilateral Congenital genu flexum Congenital genu recurvatum Congenital heart defect-round face-developmental delay syndrome Congenital joint dislocations Congenital knee dislocation Congenital limb malformation [se-atlas.de]
The dominant features are hypermobility and congenital dislocations of multiple joints: hips, knees, and elbows. [slideshare.net]
Face, Head & Neck
- Depressed Nasal Bridge
nasal bridge 60 33 hallmark (90%) Very frequent (99-80%) HP:0005280 3 skeletal muscle atrophy 60 33 hallmark (90%) Very frequent (99-80%) HP:0003202 4 limitation of joint mobility 60 33 hallmark (90%) Very frequent (99-80%) HP:0001376 5 hypoplastic pelvis [malacards.org]
Diseases related with Depressed nasal bridge and Falls In the following list you will find some of the most common rare diseases related to Depressed nasal bridge and Falls that can help you solving undiagnosed cases. [mendelian.co]
Showing of 11 | 80%-99% of people have these symptoms Depressed nasal bridge Depressed bridge of nose Flat bridge of nose Flat nasal bridge Flat, nasal bridge Flattened nasal bridge Low nasal bridge Low nasal root [ more ] 0005280 Gait disturbance Abnormal [rarediseases.info.nih.gov]
The characteristic features of heterozygous achondroplasia include short limbs, lumbar lordosis, short hands and fingers, macrocephaly with frontal bossing and depressed nasal bridge. [sonoworld.com]
If COL11A1 on Ch1, called Marshall's syndrome Feats: - orofacial dysmorphism (flat midface, depressed nasal bridge, short nose with anteverted nares, Pierre Robin sequence) - ophthalmologic abNs (AbN architecture of the vitreous gel, high myopia, frequently [quizlet.com]
- Low Nasal Root
Showing of 11 | 80%-99% of people have these symptoms Depressed nasal bridge Depressed bridge of nose Flat bridge of nose Flat nasal bridge Flat, nasal bridge Flattened nasal bridge Low nasal bridge Low nasal root [ more ] 0005280 Gait disturbance Abnormal [rarediseases.info.nih.gov]
Neurologic
- Abnormal Gait
gait Abnormal walk Impaired gait [ more ] 0001288 Hypoplastic pelvis 0008839 Limitation of joint mobility Decreased joint mobility Decreased mobility of joints Limited joint mobility Limited joint motion [ more ] 0001376 Skeletal muscle atrophy Muscle [rarediseases.info.nih.gov]
abnormal gait Browse Doctors achilles tendonitis Our Approach Browse Doctors achilles tendon rupture Browse Doctors achondroplasia Our Approach Browse Doctors ankle arthritis Our Approach Browse Doctors ankle injuries Browse Doctors ankylosing spondylitis [nyulangone.org]
- Neglect
If a flexed knee is neglected, postural hip flexion contractures are likely to ensue. Combined contracture in both hips and knees is not compatible with good gait. [orthopaedicsone.com]
The experience acquired and the literature available lead the present authors to assert that early brace treatment for spinal deformity in arthrogryposis multiplex congenita is often neglected, although its importance is well known. [scoliosisjournal.biomedcentral.com]
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]
Treatment
Treatment Please input treatment information here. You can also add sub-section(s) at will. Labs working on this disease Please input related labs here. References Please input treatment information here. [pediascape.org]
[…] thorough revision of the critically acclaimed bestseller offers original insights into the medical management of sixty common genetic syndromes seen in children and adults, and incorporates new research findings and the latest advances in diagnosis and treatment [books.google.com]
Siebold recommends conservative treatment with a body jacket when scoliosis is detected at an early age, but the treatment outcomes are unpredictable [22]. Y.H. [journals.eco-vector.com]
Treatment for Clubfoot In the past, very few treatments were available to correct this condition. Over the last century, advances have been made in non-operative treatments, such as casting and bracing as well in surgical techniques. [nationwidechildrens.org]
Brace treatment remains controversial as spine deformities in arthrogryposis tend to resist brace treatment and progress rapidly in most cases. [scoliosisjournal.biomedcentral.com]
Prognosis
Gloomy prognosis [ Back to the Top ] Metaphyseal Dysplasias (hyperdysplasias) 1. [flinders.edu.au]
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 There is still little literature available about the prognosis of patient with arthrogryposis. The search for a prognostic factor is difficult, because of the small number of patients. [monsterologist.blogspot.com]
Neurosurg Clin N Am 18:207–213 Article PubMed Google Scholar Ponseti IV, Friedman B (1950) Prognosis in idiopathic scoliosis. J Bone Joint Surg Am 32:381–395 Google Scholar Duval-Beaupere G (1979) Les lois d’évolutivité des scoliosis. [link.springer.com]
Prognosis: Life expectancy in these children is normal. Intelligence is not restricted. Neurological complications, especially involving the cervical spine, are common. [radiologykey.com]
Etiology
Synonyms ray-peterson-scott syndrome Etiology Please input defination information here. Diagnosis Please input defination information here. Symptoms Please input defination information here. Treatment Please input treatment information here. [pediascape.org]
The etiology of arthrogryposis (multiple congenital contracture). Clin Orthop Relat Res. 1985;(194):15-29. Kowalczyk B, Feluś J. Arthrogryposis: an update on clinical aspects, etiology, and treatment strategies. Arch Med Sci. 2016 Feb 1;12(1):10-24. [now.aapmr.org]
[…] written for professionals and families Extensive updates, particularly in sections on diagnostic criteria and diagnostic testing, pathogenesis, and management A tried-and-tested, user-friendly format, with each chapter including information on incidence, etiology [books.google.com]
Surgical treatments deformations there are delicate, with poorer results than in idiopathic etiology. [omicsonline.org]
Etiology Arthrogryposis is multifactorial in etiology. Factors liable to produce immobility of the fetus in-utero may contribute to congenital contractures. [orthopaedicsone.com]
Epidemiology
Patients who presented with mycobacteriosis according to the ATS/IDSA criteria (positive culture of at least two sputum series or one bronchoalveolar lavage/bronchial aspirate) fitting the pattern of LWS were selected.3 Clinical and epidemiological data [elsevier.es]
"Arthrogryposis multiplexa congenita: An epidemiologic study of nearly 9 million births in 24 EUROCAT registers". European Journal of Obstetrics & Gynecology and Reproductive Biology. 159 (2): 347–50. doi : 10.1016/j.ejogrb.2011.09.027. [en.wikipedia.org]
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]
Epidemiology Arthrogryposis is a rare condition. Some authors say the overall prevalence is one in 3000 and others say it is one in 11000-12000 among European live births. [monsterologist.blogspot.com]
Epidemiology including risk factors and primary prevention Arthrogryposis occurs from 1/3000 to 1/5000 live births. 2,3 Males and females are equally affected. [now.aapmr.org]
Pathophysiology
Patho-anatomy/physiology The pathophysiology is related to the specific type of arthrogryposis. Exact mechanisms are not well understood in some subtypes of arthrogryposis. [now.aapmr.org]
For detailed information about rare diseases (pathophysiology, treatment options), treatment centres, and patient organisations, visit Orphanet (www.orpha.net) to find information about more than 5.000 rare diseases. [orphananesthesia.eu]
[…] associated with congenital Zika virus infection Tests to evaluate arthrogryposis were consistent with a neurogenic pattern, with electromyelographic findings and spinal magnetic resonance imaging suggesting involvement of the lower motor neurones The pathophysiology [bmj.com]
Prevention
Tips on Preventing Concussions (Video. 2:56) Dr. Richard Ellenbogen offers tips for preventing concussions in children. Learn more about concussions at Seattle Children’s. [seattlechildrens.org]
Preventive health care, 2000 update: screening and management of hyperhomocysteinemia for the prevention of coronary artery disease events. The Canadian Task Force on Preventive Health Care. CMAJ 2000;163:21-9. View abstract. [medlineplus.gov]
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]
Taking some simple steps can help prevent the spread of these contagious respiratory illnesses. Flu Shots Now Available Flu shots are now available for patients age 6 months and older. [reliantmedicalgroup.org]
Epidemiology including risk factors and primary prevention Arthrogryposis occurs from 1/3000 to 1/5000 live births. 2,3 Males and females are equally affected. [now.aapmr.org]