Arthrogryposis (đa co doanh bẩm sinh) là một vấn đề không phổ biến. Bởi vì có rất nhiều nguyên nhân, chẩn đoán chính xác là rất quan trọng để dự đoán lịch sử tự nhiên và xác định điều trị thích hợp. Thuật ngữ không phù hợp đã gây ra nhầm lẫn về chẩn đoán và điều trị. Amyoplasia, loại phổ biến nhất của arthrogryposis, | Arthrogryposis and Amyoplasia Robert M. Bernstein MD Abstract Arthrogryposis multiple congenital joint contractures is an uncommon problem. Because there are many causes correct diagnosis is important to predict the natural history and determine appropriate treatment. Inconsistent terminology has caused confusion about both diagnosis and treatment. Amyoplasia the most common type of arthrogryposis is characterized by quadrimelic involvement and replacement of skeletal muscle by dense fibrous tissue and fat. Early physical therapy and splinting may improve contractures but surgical intervention is often necessary. Aggressive soft-tissue releases in addition to casting may improve joint position. In more severe contractures osseous surgery also may be needed. Deformity recurrence is common particularly in skeletally immature patients. J Am Acad Orthop Surg 2002 10 417-424 Arthrogryposis is a group of unrelated diseases with the common phenotypic characteristic of multiple congenital joint contractures. The various causes of arthrogryposis have led to confusion about diagnosis and treatment. Only recently has an effort been made to separate the entities that result in the phenotypic manifestation. The goal of treatment is to optimize independence in performing activities of daily living. Understanding the terminology of arthrogryposis as well as the etiology of the disease process is necessary to assess a child with joint contractures and arrive at a differential diagnosis. Review of the treatment options for amyoplasia the most common type of arthrogryposis provides a basis for making treatment decisions. Terminology In 1923 Stern1 coined the term arthrogryposis multiplex congenita to describe three children with symmetrical limited joint motion internal rotation of the shoulders involvement of the hands and fingers and external rotation of the hips. The term often has been loosely applied to patients with other types of multiple congenital contractures. Currently .
