What is arthogryposis multiplex congenite?
Arthrogryposis Multiplex congenicity is a disorder that affects the early development of body joints in the fetus, most often large joints in the arms and legs. The infant who was born with the condition usually has limited mobility and apparent physical deformities in one or more joints. Arthrogryposis Multiplex Congenity may be the result of bone, muscle or connective tissue deformities, abnormalities in the central nervous system or as complications of other congenital disorders. Treatment depends on the severity of the problems, but many patients are able to obtain at least some mobility and independence with a number of operations and ongoing physical therapy.
doctors are not sure of the exact causes of multiplex congenicity of arthogryposis. Some cases seem to take a form of a genetic inheritance pattern, but most patients do not have a family history or recognizable genetic mutations. The situation is most likely to occur if the expected mother suffers traumatic injury, takes drugs or is exposed to chemicalAt the beginning of her pregnancy. Such factors increase the chances of the main malformation of the spinal cord in the embryo. In addition, the fetus, which cannot move in the womb due to the abnormality of the uterus, multiple birth or the lack of amniotic fluid, may not be able to fully develop joints, bones and muscles.
The severity of symptoms can move significantly with multiplex arthogryposis. Some infants show only minor problems, such as slightly bowed legs, club legs or wrists that turn in or out. Others have several joint problems that cause their legs or arms to form a sharp curve. The hips can be dislocated at birth and certain muscles, tendons or ligaments may also be missing at the place of deformed joints. Other problems include spine scoliosis, flattened nose, large ears and distorted jaw.
Most cases of Arthrogryposje Multiplex Congenity detected whileInfants are still in the womb using ultrasound. After the birth of a child, doctors can perform physical examination, take X -rays and other imaging scanning and perform genetic testing to measure severity and seek the basic cause. The arrangement for correction surgery or other types of treatment is carried out early to provide the patient the best possible result.
If a child does not have serious deformities or problems threatening life, lungs or spinal cord, aggressive treatment is generally postponed for several years. The surgeon can try to improve the appearance and function of the joint by removing excess bone and fibrous tissue. During childhood, it will be necessary to wear braces on their feet or back to support better alignment. Physical therapy is the basis of treatment and most patients can eventually gain balance, strength and flexibility needed to master basic daily tasks. Patients who receive the right treatment of support usually enjoy a long, mostly independent lifestyle.