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January 5, 1963

Multiple Congenital Contractures: Public Health Considerations of Arthrogryposis Multiplex Congenita

Author Affiliations

New York City

JAMA. 1963;183(1):23-27. doi:10.1001/jama.1963.03700010063013

Seventy cases of multiple congenital contractures (arthrogryposis) were evaluated. Associated anomalies not previously described with this condition were found. The authors conclude that the condition is a syndrome of multiple congenital contractures and joint disturbances (eg, dislocations) which are the end result of many etiologies. The value of utilizing health department data derived from school placement changes, applications for state and city financial aid, and required reporting of orthopedic disabilities was demonstrated. The abnormality was limited to the upper extremities in 11% and to the lower in 43%. Both upper and lower extremities were involved in 46%. Treatment is prolonged, even though started very early, and requires a wide variety of orthopedic procedures.