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Background: Bruck Syndrome is an extremely rare disorder that presents a challenging constellation of orthopaedic problems. Common features described in the literature include joint contractures, bone fragility with subsequent deformity and progressive kyphoscoliosis.

Case Report: We report on a case of a young infant referred to the outpatient orthopaedic service with suspected Erb’s palsy and bilateral congenital talipes equinovarus. Further imaging revealed multiple fractures and clinical examination demonstrated contractures in both knees. Subsequent genetic testing confirmed the diagnosis of Bruck Syndrome.

Conclusion: The combination of arthrogryposis and osteogenesis imperfecta poses a difficult challenge in the management of orthopaedic problems in patients with Bruck Syndrome. Evidence on specific treatments for patients with Bruck Syndrome is insufficient and treatment should follow the current principles for osteogenesis imperfecta and arthrogryposis.

Keywords: Bruck syndrome; Arthrogryposis; Osteogenesis imperfecta