Observations on the spontaneous amputation of the limbs of the fœtus in Utero, with an attempt to explain the occasional causes of its production

Montgomery, W. F.

doi:10.1007/bf02967985

Cited by 41 publications

(14 citation statements)

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“…Since the term amniotic constriction band was originally mentioned by Montgomery in 1832, 5 it has been extensively used to represent a wide variety of associated congenital abnormalities, including constriction rings of the extremities, disfigurements, and hemangiomas. Additionally, uncommon manifestations of this condition include complete absence of a limb, a short umbilical cord, craniofacial deformities, a defect of the neural tube, cranial defects, scoliosis, and body wall defects, such as gastroschisis and an extrathoracic heart.…”

Section: Discussionmentioning

confidence: 99%

Amniotic constriction band syndrome resulting in amputation caused by septate uterus: a case report

Tian

Sui

et al. 2020

J Int Med Res

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Amniotic band syndrome is an unusual congenital condition characterized by manifestations of disfigurement and disablement. Patients with this condition may experience an array of clinical deformities, including constriction rings, digital defects, and even visceral defects. Although this disease has been identified for centuries, its etiology is still unknown. The present male patient was born by cesarean section at 34 weeks and 4 days of gestation. At birth, an amniotic band that encircled and constricted his right upper limb was observed. Four hours after the amniotic band was cut off, amputation was performed because the right limb remained insensate. The patient suffered from amniotic band syndrome and presented with a gangrenous limb leading to amputation at birth, which is extremely rare. Moreover, the patient’s mother suffered from a uterine septum, which has not been previously reported in this situation. Timely surgical treatment avoided further tissue necrosis threating the patient’s life. This rare case of amniotic band syndrome provides new clinical evidence for the “extrinsic theory”.

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Section: Discussionmentioning

confidence: 99%

Amniotic constriction band syndrome resulting in amputation caused by septate uterus: a case report

Tian

Sui

et al. 2020

J Int Med Res

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“…Congenital constriction bands (CCBs) are limb malformations that were described by Montgomery in 1832 [1]. Annular bands, amniotic bands, or Streeter dysplasia are also some terms used to describe this entity.…”

Section: Introductionmentioning

confidence: 99%

Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach

2016

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BackgroundTraditional treatment for a congenital constriction band of the limb involves multiple Z-plasties and W-plasties. We propose an alternative surgical procedure for the treatment of congenital constriction bands that obviates the need for Z-plasties and eliminates the constriction band.MethodsWe present the case of a 36-year-old woman with a congenital constriction band of the leg. Using a minimally invasive approach, the skin segment that included the band was dissected from the deep tissues. Afterwards, multiple slices were performed on the internal surface of the fibrous ring. This and lipoinjection were used to reverse the depression that characterizes the “hourglass sign” and homogenize the skin surface.ResultsResults have remained stable in a follow-up period of 18 months.ConclusionsThis surgical alternative can be considered as an option for the treatment of congenital constriction bands. It is a safe, reproducible procedure that does not cause additional scars and has good functional and aesthetic results.Level of evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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“…A definitive etiology has yet to be elucidated, although it is widely accepted that there is no hereditary component. In 1832, Montgomery first observed and described what he believed to be a ‘string of great force’ in stillborns he evaluated, causing depressions and possibly leading to amputations [ 10 ]. Streeter offered an opposing view in 1930, whereby the proposed mechanism was a result of defective germ-plasm [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

Rapp

Pan

Yakuboff

2014

Case Reports in Plastic Surgery and Hand Surgery

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Purpose: Constriction band syndrome afflicting in utero development can lead to devastating and possibly fatal outcomes. A lack of consensus regarding noninvasive testing and surgical modalities is likely secondary to the continued poorly understood pathology. Methods: We provide a case report of a 6-month-old boy who presented with a functional, nonsensate upper limb after surgical release of midhumeral banding at 3 months of age. Results: Exploration revealed intact, albeit atrophic, peripheral nerves with brachial artery disruption above the elbow. Sural nerve grafting was performed and 2-year follow-up demonstrated return of protective sensation in the median nerve distribution with minimal motor return. Conclusion: This case demonstrates that nerves present distal to the original soft tissue insult oppose the idea of failure of nerve formation. Early nerve grafting at the time of initial Z-plasty release may serve to improve long-term functional outcomes.

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Observations on the spontaneous amputation of the limbs of the fœtus in Utero, with an attempt to explain the occasional causes of its production

Cited by 41 publications

References 0 publications

Amniotic constriction band syndrome resulting in amputation caused by septate uterus: a case report

Amniotic constriction band syndrome resulting in amputation caused by septate uterus: a case report

Lipoinjection and Multiple Internal Cuts for Congenital Constriction Bands: A New Treatment Approach

Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

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