ultrasound diagnosis of fatal anomalies

SKELETAL ANOMALIES
Fig. 8.10 Arthrogryposis multiplex congenita.
Club foot at 23 + 0 weeks in arthrogryposis multiplex
congenita and fetal hypokinesia sequence.
tiple pterygium syndrome, Pena–Shokeir syndrome,
Smith–Lemli–Opitz syndrome, trisomy
18, Larsen syndrome, trisomy 8 mosaic.
E-mail: avenues@sonnet.com
Web: http://www.sonnet.com/avenues
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Clinical management: Further ultrasound
screening, including fetal echocardiography and
karyotyping. Search for infections (TORCH). A
fixed breech position presents frequently, which
may lead to complications during labor and
delivery.
Procedure after birth: This is determined after
an exact diagnosis is made.
Prognosis: This depends on the associated malformations
and the severity of the disorder and
can vary from a fatal outcome to minimal orthopedic
handicap.
Self-Help Organization
Title: Avenues: A National Support Group for
Arthrogryposis
Description: Connects families affected by arthrogryposis
with each other for mutual support
and sharing of information. Educates
medical and social-service professionals.
Semiannual newsletter $10/year.
Scope: National network
Founded: 1980
Address: P.O. Box 5192, Sonora, CA 95370,
United States
Telephone: 209–928–3688 (PST)
References
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Pena–Shokeir phenotype at 14 weeks of pregnancy.
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Bui TH, Lindholm H, Demir N, Thomassen P. Prenatal diagnosis
of distal arthrogryposis type I by ultrasonography.
Prenat Diagn 1992; 12: 1047–53.
Degani S, Shapiro I, Lewinsky R, Sharf M. Prenatal ultrasound
diagnosis of isolated arthrogryposis of feet.
Acta Obstet Gynecol Scand 1989; 68: 461–2.
Dudkiewicz I, Achiron R, Ganel A. Prenatal diagnosis of
distal arthrogryposis type 1. Skeletal Radiol 1999;
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Falsaperla R, Romeo G, Di Giorgio A, Pavone P, Parano E,
Connolly AM. Long-term survival in a child with arthrogryposis
multiplex congenita and spinal muscular
atrophy. J Child Neurol 2001; 16: 934–6.
Goldberg JD, Chervenak FA, Lipman RA, Berkowitz RL.
Antenatal sonographic diagnosis of arthrogryposis
multiplex congenita. Prenat Diagn 1986; 6: 45–9.
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Madazli R, Tuysuz B, Aksoy F, Barbaros M, Uludag S,
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