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Contractures and Talipes

Providers often mention physical deformities as a complication of PPROM.  Babies exposed to oligohydramnios (low fluid) in the intrauterine environment are more likely to develop orthopedic complications. Statistically, joint contractures and physical abnormalities are seen in approximately 3% of all cases; the most common being club foot, hip dysplasia, and major joint contractures. Physical characteristics of babies exposed to prolonged oligohydramnios are facial compression (loose skin folds, flattened and beaked nose, and flat ears); positional limb deformities such as club foot, flat hands, and excess skin. With physical therapy and aggressive orthopedic treatments starting at birth, most joint disorders can be resolved without long term problems. 

Some children affected by PPROM are diagnosed with Arthrogryposis or arthrogryposis multiplex congenita (AMC). AMC is a condition characterized by multiple joint contractures found throughout the body at birth. For more information on Arthrogryposis, see AMCSupport.org



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