ABSTRACT
Amniotic band syndrome is an uncommon congenital fetal abnormality with defects of skin resulting in ringlike strictures about the limbs and occasionally the trunk. Its pathogenesis has been still debated in the literature for many years. Amniotic band syndrome features multiple disfiguring and disabling manifestations. A clinical deformities include limb defects, craniofacial defect, visceral defect, body wall defect and other anomalies. We had experienced a case of amniotic band syndrome with retinopathy of prematurity, bilateral orofacial cleft, aphalangia of right hand, ventricular septal defect and atrial septal defect. We report this case with a brief review of the literature.
Subject(s)
Infant, Newborn , Amniotic Band Syndrome , Congenital Abnormalities , Constriction, Pathologic , Extremities , Hand , Heart Septal Defects, Atrial , Heart Septal Defects, Ventricular , Retinopathy of Prematurity , SkinABSTRACT
The therapy for hand malformations is challenging especially in aphalangia in symbrachydactyly. Ten cases of symbrachydactyly are presentd which are seek to obtain a useful forceps of the hand, treated with two surgical techniques: I. Resection of nubbins and Z-plasties of the interdigital space II. Nonvascularized extraperiostic graft of the first phalanx of the fourth toe to a beam of the hand. Surgical techniques, complications and resultd are described.
El tratamiento de las malformaciones congénitas de mano es un desafío especialmente en braquisindactilia. Se presentan 10 casos de braquisindactilia en los cuales se busca conseguir una pinza útil en la mano, tratados con dos técnicas quirúrgicas: 1. Resección de los mamelones digitales y zetoplastias del espacio interdigital logrado. II. Injerto extra perióstico no vascularizado de la 1° falange del 4° ortejo a un rayo de la mano. Se describe la técnica quirúrgicas, sus complicaciones y resultados.
Subject(s)
Humans , Child, Preschool , Child , Fingers/abnormalities , Fingers/surgery , Hand Deformities, Congenital/surgery , Syndactyly/surgery , Toe Phalanges/transplantation , Hand Strength , Postoperative Complications , Range of Motion, Articular , Treatment OutcomeABSTRACT
Absent terminal phalanges are often associated with corresponding omission of the associated nail. Lack of phalanges may arise in isolation or may be associated with other skeletal or dental abnormalities. We report two cases of corn associated with congenital aphalangia and anonychia in a 3-year-old child and a 22-year-old woman.