A full-term #Newborn after normal #Pregnancy and #Delivery, | Figure 1

Case Overview

A full-term #Newborn after normal #Pregnancy and #Delivery, first physical examination was normal except for these clenched hands and semian line bilaterally.


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Neonate born with multiple congenital anomalies including CHD, hypotonia, limp abnormalities & the one showed in picture. What is your Dx?

Rocker bottom feet

22 yo G1P0 clenched hands, bilateral clubbed feet, & abnormal curvature of the spine. Arms and legs in fixed flexion. Arthrogyposis syndrome. Negative MaterniT21. Patient declined amino. Pregnancy ongoing.

Pt is 1 month old, born full term, however admitted to the NICU due to respiratory distress. Pt noted to be hypo cephalic, has B hip dysphasia, rocker bottom feet, and concern of chromosomal abnormality due to parental consanguinity. Pt also presents with persistent, ‘thumb-in-fist’ positioning, and the RNs were complaining of odor, and difficulty with cleaning pts palms, so thumb loop splint was provided. PROM is WNLs at all the hand joints, except for B thumb MP joints, which have flexion contractures. Recommended to alternate splint from right to left at each care time, which is ~ q3h

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