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Osteogenesis imperfecta with congenital joint contractures (Bruck Syndrome)
Author(s) -
Viljoen Denis,
Versfeld Gerry,
Beighton Peter
Publication year - 1989
Publication title -
clinical genetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.543
H-Index - 102
eISSN - 1399-0004
pISSN - 0009-9163
DOI - 10.1111/j.1399-0004.1989.tb03174.x
Subject(s) - muscle contracture , osteogenesis imperfecta , medicine , arthrogryposis , arthrogryposis multiplex congenita , joint contracture , pediatrics , contracture , anatomy , surgery
Five children from three unrelated families were bom with symmetrical contractures of the knees, ankles and feet. An initial diagnosis of arthrogryposis multiplex was made, but frequent fracturing occurred after walking commenced and it was then recognised that the children had osteogenesis imperfecta. The pathogenesis of the congenital contractures is unknown, but the symmetry and lack of evidence of prior fracturing is suggestive of articular immobility during early intra‐uterine development. The consistency of the anatomical distribution of the contractures, in the setting of a uniform 01 phenotype, is suggestive of syndromic identity. A similar case was documented by Alfred Bruck in 1897 and we propose that the eponymous designation “Bruck syndrome” should be applied to the disorder.