Artrogripoza la un nou-născut prematur provenit din sarcină gemelară. Prezentare de caz

Arthrogryposis multiplex congenita (AMC) is a well-known newborn congenital anomaly, being characterized by multiple joint contractures. Amyoplasia is the most frequent form of AMC and has a markedly increased occurrence in one of the monozygotic twins. In AMC patients, besides contracture abnormalities seen especially in distal joints, other clinical features can be observed: micrognathia, low set years, short neck, broad nasal root and musculoskeletal system impairment. Arthrogryposis is defined by more than two affected joints, as clinical findings describe at birth. We present the case of a 34-week preterm male infant from a monochorionic monoamniotic twin pregnancy, with caesarean delivery, cephalic presentation, birth weight: 1580 g, with multiple spinal and limb malformations (the particular aspect of lower limbs with joint contractures and distal movement restriction of the upper limbs; scoliotic posture), decreased muscle tone and pneumoperitoneum.