Manipal Journal of Nursing and Health Sciences


Asst Professor,


Background: Arthrogryposis is a term used to describe the development of nonprogressive contractures in one or more body parts before birth (congenitally). A contracture is a condition in which a joint becomes permanently stuck in a bent (flexed) or straightened (extended) position, limiting movement of the affected joint totally or partially. When congenital contractures affect only one body part, they are referred to as isolated congenital contractures rather than arthrogryposis. Clubfoot is the most common solitary congenital contracture. Arthrogryposis multiplex refers to arthrogryposis that affects two or more separate parts of the body.

Case report: We report a case of arthrogryposis multiplex congenita (AMC) with bilateral hip, knee, and ankle dislocation in a neonate. Neonate also had facial dysmorphisms like prominent forehead, retrognathia (small mouth), and broad nose. There was no contracture in upper limbs. This is probably one rare case where arthrogryposis multiplex congenita with bilateral hip, knee, and ankle dislocation without upper limb involvement in a neonate. This neonate was treated with serial manipulation of the lower limbs.

Conclusion: Arthrogryposis multiplex congenita (AMC) associated with bilateral hip, knee, and ankle dislocation, facial dysmorphisms and not involving upper limb appears to be a rare presentation. There is a need to look into this condition in the future.



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