Arthrogryposis Multiplex Congenita

Question 1

What is AMC?

Answer 1

-Non-progressive neuromuscular syndrome present at birth
-Characterized by severe joint contractures, muscle weakness, and fibrosis
-Defined by contractures at 2 or more areas at birth

Question 2

What causes AMC?

Answer 2

-Maternal illness or exposures
-Fetal crowding
-Neurological deficits
-Vascular compromise
-Metabolic disturbances
-Neuromuscular end plate disturbances
-Muscle defects

Question 3

What is the surgical management of AMC?

Answer 3

-Club foot deformity
-Hip subluxation
-Knee contractures
-Patellar realignment
-Shldr reconstruction

Question 4

What are the common patterns of AMC?

Answer 4

-Club foot
-Hip flexion
-Knee extension
-Shldr tightness
-Elbow flexion
-Wrist flexion
-Hip FABER
-Flexed knees
-IR of Shldr
-extended and pronated elbows

Question 5

What are the PT interventions for AMC?

Answer 5

-Development
-Strength
-Mobility
-Splinting
-Positioning
-Orthotics
-Adaptive equipment