pediatrics
Arthrogryposis Multiplex Congenita
Treatment of Arthrogryposis Multiplex Congenita
Joint manipulation and casting Sometimes surgical procedures Early orthopedic and physical therapy evaluations are indicated. Joint manipulation and casting during the first few months of life may produce considerable improvement. Orthotics may help. Surgery may be needed later to align the angle of ankylosis, but mobility is rarely enhanced. Muscle transfers (eg, surgically moving the triceps so that it can flex the elbow) may improve function. Many children do remarkably well; two thirds are ambulatory after treatment. 