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Sonographic Evaluation of Arthrogrypotic Conditions

Glenn A. Rouse, MD

Department of Diagnostic Ultrasound, Loma Linda University Medical Center, Loma Linda, California.

Marie de Lange, RDMS, RDCS

Department of Diagnostic Ultrasound, Loma Linda Universitv Medical Center, 11234 Anderson Street, Loma Linda, CA 92354.

The term arthrogryposis is applied to a large group of conditions that result in joint contractures, abnormal positioning of hands or feet, and other neuromuscular defects. Abnormalities of the brain, spinal cord, peripheral nerves, muscles, or connective tissue lead to similar joint stiffness and contractures. Careful sonographic examination of an affected fetus can provide valuable information that will help in the assessment of diagnosis, prognosis, and risk of recurrence.

Key Words: arthrogryposis • Pena Shokeir syndrome • multiple lethal pterygium syndrome • trisomy 18 • amyoplasia • sonography • contractures • club foot

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