Arthrogryposis multiplex congenita (amyoplasia) - An orthopaedic perspective

The management of the musculoskeletal problems associated with arthrogryposis can be challenging. In our opinion, these children are best managed by multidisciplinary teams that includes an experienced geneticist, an orthopaedic surgeon, a physical therapist, and a pediatric physiatrist. It should be recognized that a high percentage of these children might be able to achieve some measure of functional ambulatory potential, but that many will lose some of these skills as they get older. The need for surgery is high in these children, and often, several procedures will be necessary. A careful discussion of realistic goals with the family is important, as is in ongoing focus on skills necessary for maximising independence in adulthood. © 2007 Lippincott Williams & Wilkins, Inc.