Arthrogryposis in infancy, multidisciplinary approach: case report.

Abstract:

BACKGROUND:Arthrogryposis multiplex congenita is an etiopathogenetically heterogeneous disorder characterised by non-progressive multiple intra-articular contractures, which can be recognised at birth. The frequency is estimated at 1 in 3,000 newborns. Etiopathogenesis of arthrogryposis is multifactorial. CASE PRESENTATION:We report first 26 weeks of life of a boy with severe arthrogryposis. Owing to the integrated rehabilitation approach and orthopaedic treatment a visible improvement in the range of motion as well as the functionality of the child was achieved. This article proposes a cooperation of various specialists: paediatrician, orthopaedist, specialist of medical rehabilitation and physiotherapist. CONCLUSIONS:Rehabilitation of a child with arthrogryposis should be early, comprehensive and multidisciplinary. Corrective treatment of knee and hip joints in infants with arthrogryposis should be preceded by the ultrasound control. There are no reports in the literature on the ultrasound imaging techniques which can be used prior to the planned orthopaedic and rehabilitative treatment in infants with arthrogryposis. The experience of our team indicates that such an approach allows to minimise the diagnostic errors and to maintain an effective treatment without the risk of joint destabilisation.

journal_name

BMC Pediatr

journal_title

BMC pediatrics

authors

Binkiewicz-Glinska A,Sobierajska-Rek A,Bakula S,Wierzba J,Drewek K,Kowalski IM,Zaborowska-Sapeta K

doi

10.1186/1471-2431-13-184

subject

Has Abstract

pub_date

2013-11-11 00:00:00

pages

184

issn

1471-2431

pii

1471-2431-13-184

journal_volume

13

pub_type

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