Arthrogryposis multiplex congenita in twin 1 of a twin pregnancy: case report

Arthrogryposis multiplex congenita (AMC) is a rare congenital syndrome characterized by multiple joint contractures. It usually affects the joints of hands, wrists, elbows, shoulders, hips, feet, knees, jaw and back. This case report discusses a mild variety of AMC in a twin where the other twin had no musculoskeletal abnormalities. There has been no published case report of such a case in a twin delivery. Prompt recognition of the syndrome complex and early start of stretching exercises and physiotherapy is the mainstay treatment protocol to give relative contracture free mobility to the child.