Current concepts in physiotherapy and rehabilitation protocol for arthrogryposis multiplex congenita: An unusual case report

Arthrogryposis multiplex congenita is a non-progressive syndrome characterized by multiple congenital joint contractures. This case is a six-year-old child with arthrogryposis multiplex congenita who presented at Inonu University Orthopedic Clinic with complaints of weakness and atrophy of m. flexor and extensor carpi radialis and ulnaris, m.flexor and extensor digitorum superficialis, biceps, triceps muscles in the bilateral arms. The tendon transfer was performed in the attachment of the triceps muscle due to the absence of brachialis. This case report presents information on differential diagnosis, detailed symptoms, and physical therapy management of a six-year-old patient with arthrogryposis multiplex congenita. An early approach to physical therapy decreases complications such as flexor contracture of the wrist and elbow, muscle weakness and atrophy following arthrogryposis multiplex congenita. Physical therapy interventions can improve rigid contracture and muscle atrophy and prolong the need for surgical operation in childhood.