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Arthrogryposis Introduction

van Bosse, Harold J. P. MD

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Journal of Pediatric Orthopaedics: July/August 2017 - Volume 37 - Issue - p S1
doi: 10.1097/BPO.0000000000000995
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Arthrogryposis multiplex congenita, or more simply arthrogryposis or AMC, is a condition familiar to most pediatric orthopedic surgeons, but is uncommon enough that building an experience in it is rare. There is also little recent orthopedic literature on the condition. Moreover, the broad heterogeneity of the underlying conditions that can lead to a baby born with multiple congenital contractures, and the wide spectrum of presentations of those affected, complicates arriving at simple solutions. The first and second international symposiums on arthrogryposis, in 2007 and 2014, were organized with the aim of sharing the knowledge, experience, and opinions of those with a strong interest in AMC. After the second meeting, there was common consensus that a platform should be sought so that the knowledge shared at the symposium could be made available more broadly.

This supplemental issue, through the support of the Shriners Hospital for Children along with Arthrogryposis Multiplex Congenita Support Inc., provides a suite of articles covering the different topics discussed. The goal was to inject the diversity of opinion expressed during the conference into the articles, so that all viewpoints were represented in each article, despite many contradictions in practice and thought. This would provide the reader with a broad foundation from which to make their own treatment decisions. Each presenter at the meeting was asked to create a narrative of their presentation, all those who participated were then coauthors for that article. Section editors then created composite articles, structured as balanced and objectively as possible. It is important to stress that these are not review articles, and the length restrictions limited their ability to be comprehensive. Similarly, the references included are meant to highlight topic points, and not be an exhaustive list. The 8 articles presented here create a broad understanding of the complexity of treating patients with arthrogryposis, and accentuate the potential inherent in each of these patients.

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