Arthrogryposis in infancy, multidisciplinary approach: case report

BMC Pediatrics

Katarzyna Zaborowska-Sapeta³  Ireneusz M Kowalski³  Konrad Drewek⁴  Jolanta Wierzba¹  Stanislaw Bakula²  Agnieszka Sobierajska-Rek²  Anna Binkiewicz-Glinska² 

[1] Department of General Nursing University of Gdansk, 80-952 Gdańsk, Poland;Department of Rehabilitation, Medical University of Gdansk, ul. Debinki 7, 80-952 Gdańsk, Poland;Department of Rehabilitation, University of Warmia and Mazury in Olsztyn, ul. Oczapowskiego 2, 10-719 Olsztyn, Poland;Department of Orthopedics and Traumatology, Medical University of Gdansk, ul. Powstancow Warszawskich 1 / 2, 80-152 Gdansk, Poland

关键词: Rehabilitation;    Arthrogryposis;    Infant;   

Others  :  1144320
DOI  :  10.1186/1471-2431-13-184

 received in 2012-12-19, accepted in 2013-10-31,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Binkiewicz-Glinska et al.; licensee BioMed Central Ltd.

【 图 表 】

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