The condition Arthrogryposis Multiplex Congenita (AMC) causes joint stiffness and weak muscles in children since birth. Because of stiff muscle and joint, it becomes difficult for children to move around as usual. The joints are often held in odd postures and the related muscles are usually weak and do not grow large enough. Arm, leg, spine or other parts of the body can sometimes be involved in the condition.

Because all children with Arthrogryposis Multiplex Congenita develop differently, their treatment should be personalized. The purpose of therapy is to back the child learn to live and move as independently as they can. Management by an orthopaedic team greatly enhances how well these children can move and live.

Why Orthopaedic Treatment Is Important

Treatment by an orthopaedic surgeon is focus on the bones, joints and muscles. By providing care for arthrogryposis, deformities can be fixed, moving around becomes easier and growth is supported. Starting orthopedic care early can help the child’s walking, hand usage and everyday activities.

Main Approaches in Orthopaedic Management

Early Evaluation and Planning

● Orthopaedic care usually starts soon after birth.

● Doctors assess which joints are affected and how severe the deformities are.

● Early planning helps prevent worsening of joint stiffness as the child grows.

Physical Therapy and Stretching

● Gentle stretching exercises are used to improve joint flexibility.

● Therapy begins in infancy and continues throughout childhood.

● Daily exercises also help strengthen the surrounding muscles.

Use of Braces and Splints

● Braces or splints support the joints in a better position.

● They are used to prevent contractures (joint tightening) and guide limb development.

● Custom-made braces help with standing, walking, or even using the hands.

Surgical Options

● Surgery may be needed if joint stiffness or deformity limits movement.

● Common surgeries include tendon release, joint realignment, and bone corrections.

● The aim is to allow smoother movement and improve limb positioning.

Foot and Leg Corrections

● Many children with AMC have clubfoot or knee issues.

● These are usually treated early using casting, bracing, or surgery.

● Correcting these helps improve the ability to walk or stand independently.

Upper Limb Interventions

● Stiffness in shoulders, elbows, or wrists can limit daily tasks.

● Surgery or therapy can improve arm movement and hand function.

● This enables the child to write, feed themselves, or dress more easily.

Ongoing Care and Monitoring

Following up with children who have AMC as they grow is necessary.

As patients grow, their needs for braces, therapy and surgery may be different.

Orthopaedic doctors, therapists and parents meet together to monitor growth and make necessary changes to the treatment plans.

Complete story: https://youtu.be/l4aPtE7AlYE

Brief detail & case study: https://youtu.be/oTa6AjrfP8I

Conclusion

Getting the right orthopaedic care allows children with arthrogryposis multiplex congenita to be more independent and enjoy a better quality of life.

Working with an early intervention specialist and using braces, physical therapy and surgery when necessary can correct and improve joint deformities.

Following up routinely helps the team address the child’s needs as they develop. Having good support groups and expert treatment helps make a real difference for these children.

Trishla Ortho

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