Arthrogryposis multiplex congenita is a rare, non-progressive congenital disorder characterized by multiple joint contractures associated with akinesia and connective tissue fibrosis that can be either generalized or limited to the upper and/or lower extremity. AMC is a group of conditions with varied etiologies including myopathic processes, neromuscular end-plates, connective tissue abnormalities, intra-uterine space limitation and vascular compromise, maternal factors, metabolic disturbances and neuropathic processes [2]. Neural tube defects including myelomeningocele have been identified as a cause of arthrogryposis in lower extremities [2]. We present, to the best of our knowledge, the first reported case in Lebanon of lower limb arthrogryposis due to lumbosacral myelomeningocele.