A RARE CASE OF PRENATAL DIAGNOSIS OF ARTHROGRYPOSIS MULTIPLEX CONGENITA

Abstract

It is challenging to diagnose antenatal identification of fetuses with multiple congenital contractures or arthrogryposis multiplex congenita (AMC) .The first clinical sign is often reduced fetal movement and/or contractures, as seen on prenatal ultrasounds. This can be apparent at any point, from early to late pregnancy, may range from mild to severe involvement, with or without associated other structural anomalies. Possible etiologies and their prognosis need to be interpreted with respect to developmental timing. Essentially, the severity of the disease is based on the number of joints involved. We report a case of a 17-year-old primigarvida woman who visited a tertiary care hospital in for routine antenatal scans. No movement with reduced muscle mass was seen in all the limbs. The hip joints was fixed and flexed in position whereas the knee joints were in an persistent extended position along with severe talipus deformity . All presenting features were indicative of AMC ,poor prognosis of baby and correlated with the post delivery examination of baby.