Arthrogryposis multiplex congenita

Marcos Antonio V Sanchez, MD, Jose Martin A Caro, MD, Javier Cabrera Garcia, MD, Karla Munoz James, MD

Instituto de Diagnostico por Imagen, Hospital General de Acapulco, Mexico

This is a 29-year-old woman, G7P6, with two previous newborn demises. The scan revealed a pregnancy of 28 weeks and multiple anomalies including significant limitation of joint mobility, fixed extremity, clubbed feet, clenched hands, hydrops and polyhydramnios. The sonographic features were compatible with the diagnosis of arthrogryposis congenital multiplex.

Note the hypotelorism and hydrops:

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Clubbed feet

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Postnatal images

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Clenched hand

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Clubbed feet

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