1990 年 39 巻 2 号 p. 686-690
Arthrogryposis multiplex congenita (AMC) is a syndrome characterized by multiple joint contractures present at birth. It needs a long-term habilitation or performing surgical treatments several times. In this study, the experience in eight cases with AMC was reported.
1) In terms of distribution of contracture, in general joints, 4 of 8 cases belonged to “upper and lower limbs type”, whereas in major joints except hands and feet, most cases were divided into “upper limbs type” and “lower limbs type”.
2) Multiple surgical treatments were performed in 5 of 8 cases.
3) Four of 8 cases had an episode of fracture, mainly in the upper limb.
4) Some cases had abnormal delivery or malformation.
5) Every case showed normal mentality, except for one case with mental retardation.
In AMC, the functional prognosises on ADL were expected to be improving, though long-term treatment and habilitation were needed.