Abstract

Congenital insensitivity to pain is a rare syndrome characterized by absence of sensations of pain and temperature. These children present with self mutilation of tongue, lips and fingers and musculoskeletal complications in the form of multiple and recurrent fractures, dislocations, auto amputations, ulcers of the extremities, infections in the form of soft tissue abscess, osteomyelitis and septic arthritsis, charcot joint arthopathy, heterotrophic ossification, avascular necrosis and deformities. We here present a six year old boy with congenital insensitivity to pain with anhidrosis who had selfmutilation of lips, tongue and fingers and presented with osteomyelitis of distal humerus with septic arthritis of elbow joint that resulted in destruction of the proximal radius and ulna. We also review the literature for the musculoskeletal complication seen in congenital insensitivity to pain.