Amyoplasia
Amyoplasia is a rare type of arthrogryposis, a condition characterized by multiple joint contractures and muscle weakness present at birth. The term "amyoplasia" is derived from the Greek words "a" (without), "myo" (muscle), and "plasia" (formation). This condition affects approximately 1 in 10,000 newborns.
Symptoms
The most common symptoms of amyoplasia include lack of muscle development and fibrosis (thickening and scarring of connective tissue), particularly in the limbs. Affected individuals typically have flexed and dislocated hips, clubfeet, and flexed fingers. The shoulders may be internally rotated and the elbows may be unable to extend fully. In some cases, the wrists and fingers may also be affected.
Causes
The exact cause of amyoplasia is unknown. However, it is believed to be sporadic, meaning it occurs in individuals with no history of the disorder in their family. Some researchers suggest that it may be caused by an early prenatal vascular disruption, which could affect the development of the fetus's limbs and other body parts.
Diagnosis
Diagnosis of amyoplasia is typically based on physical examination at birth. The characteristic features of the condition, such as joint contractures and muscle weakness, can often be identified through a physical examination. In some cases, genetic testing may be used to rule out other conditions that can cause similar symptoms.
Treatment
Treatment for amyoplasia typically involves physical therapy and, in some cases, surgery. Physical therapy can help improve joint mobility and muscle strength. Surgery may be necessary to correct joint deformities and improve function. The goal of treatment is to improve the individual's ability to perform daily activities and enhance quality of life.
Prognosis
The prognosis for individuals with amyoplasia varies. Some individuals may have normal intelligence and lifespan, while others may experience physical disabilities. With appropriate treatment and support, many individuals with amyoplasia can lead productive lives.
See also
References
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Contributors: Prab R. Tumpati, MD