Arthrogryposis multiplex congenita

S.Manohar, MD. M Mohan Karthikeyan, MD.

Se following images show a case of arthrogryphosis associated with a neuromuscular disorder. 25-year-old G1P0 with no contributive family or personal history, was referred to our department at 29 weeks of pregnancy. We diagnosed a persistent flexion deformities of all four extremities, multiple joint contractures. All major joints, elbow, wrist, knee and ankle were affected. There were no other anomalies detected. Patient opted for a pregnancy termination. The postnatal findings correlated with our ultrasound images and confirmed our diagnosis.

Images 1,2: Image 1 shows a 2D image of the lower extremity, note the contracture of the knee and ankle joint. Image 2 shows a 3D image, note the contractures of the lower extremities and wrists.

Arthrogryposis_1
Arthrogryposis_2

Images 3,4: Image 3 shows a 3D image of the fetal face, note the position of the left wrist. Note the contractures and position of extremities on the image 4. 

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Arthrogryposis_4

Images 5,6: 3D images showing nicely the persistent flexions of all extremities.

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Arthrogryposis_6

Image 7: The image of the fetus, note the contractures indicating the arthrogryposis.

Arthrogryposis_7b

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