title: Arthrogryposis multiplex congenital - multidisciplinary care - including own experience.
abstract: Arthrogryposis multiplex congenital (AMC) is a heterogeneous disorder, characterized by nonprogressive multiple intra-articular contractures, which can be recognized at birth. The prevalence in Europe is estimated at about 1 per 12,000. Etiopathogenesis of arthrogryposis is multifactorial. Symptoms of some forms of arthrogryposis can be found in the clinical presentation of selected genetic disorders, e.g. Pena Shokeir syndrome. Arthrogryposis can also result from environmental factors such as medication, trauma or chronic illness during pregnancy, as well as from oligohydramnios or abnormal structure of the uterus. In this particular disorder prenatal diagnosis is crucial, because it determines the level of hospital reference during the delivery of the affected child. The highest reference degree hospital is preferential, with staff prepared for the multidisciplinary approach to the treatment of the newborn. The key to success is rehabilitation treatment and it should be initiated as soon as possible. In a substantial number of cases, physical therapy can replace invasive corrective surgery, but even when orthopedic treatment is required, it should always be preceded and followed by rehabilitation.
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Poland, e-mail: abinkiewicz@gumed.edu.pl.
authors.forename: Anna
authors.initials: A
authors.lastname: Binkiewicz-Glińska
authors.affiliation: Departments of Pediatrics, Hematology and Oncology, Academic Clinical Center of Medical University of Gdansk, Poland, Department of General Nursing, Department of Clinical Genetics.
authors.forename: Jolanta
authors.initials: J
authors.lastname: Wierzba
authors.affiliation: 2nd Department of Radiology, Medical University of Gdansk, Poland.
authors.forename: Edyta
authors.initials: E
authors.lastname: Szurowska
authors.affiliation: Department of Pathology and Experimental Rheumatology, Medical University of Gdansk, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Ruckeman-Dziurdzińska
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Poland.
authors.forename: Stanisław
authors.initials: S
authors.lastname: Bakuła
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Sokołów
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Reńska
mesh_terms: D000015:Abnormalities, Multiple / Q000453:epidemiology* / Q000628:therapy*; D001176:Arthrogryposis / Q000453:epidemiology* / Q000628:therapy*; D002648:Child; D005060:Europe / Q000453:epidemiology; D005192:Family Health; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D008297:Male; D012189:Retrospective Studies
keywords: arthrogryposis; rare diseases; rehabilitation