Popliteal Pterygium Syndrome

Hz, Herold; Shmueli, G; Baruchin, A.M.

doi:10.1097/00003086-198608000-00027

Cited by 34 publications

(18 citation statements)

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“…Surgical treatment is preferred because the results of conservative treatment, including serial casting or traction, have been unsatisfactory. Among these surgical treatments, lengthening of the soft tissues such as the skin, muscles and ligaments using resection of fibrous bands and Z-plasty was the most preferred technique 1-3). However, this technique is not applicable to many cases where the sciatic nerve is displaced into the webbing and it is attached to the fibrous tissues.…”

Section: Discussionmentioning

confidence: 99%

“…Sometimes femoral extension osteotomy, femoral shortening or knee arthrodesis is concomitantly performed. In severe cases, amputation also becomes an option 1-5). Oppenheim et al4) reported that excision of fibrous bands and Z-plasty were possible in only 2 of 7 cases of PPS (4 patients) and the rest of the cases required secondary operations such as femoral extension osteotomy, femoral shortening or amputation due to severe adhesion to the sciatic nerve.…”

Section: Discussionmentioning

confidence: 99%

“…The cause of the PPS has not yet been firmly established. This disorder sometimes affect other joints and it is often combined with craniofacial, oral cavity and genitourinary anomalies 1,2). PPS requires aggressive treatment not only for functional reasons, but also for cosmetic and hygienic reasons.…”

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confidence: 99%

“…Sometimes femoral extension osteotomy or femoral shortening or knee arthrodesis is concomitantly performed. In some severe cases, amputation becomes an option 1-5). We report here on a case of PPS, and the patient was treated with an Ilizarov external fixator for flexion contracture of the knee joint and the equinus deformity of the ankle joint following unsuccessful excision of fibrous bands and soft tissue lengthening.…”

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confidence: 99%

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Treatment of Popliteal Pterygium Using an Ilizarov External Fixator

2009

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Popliteal pterygium syndrome is a rare congenital disorder that consists of popliteal webs and craniofacial, genitourinary and extremity anomalies. Only moderate successful surgical excision of the fibrotic band within the popliteal web has been reported because the nerves and vessels in the affected site are short and displaced into the web and they are attached to adjacent tissues. We performed hamstring tenotomy on the ischial tuberosity, tenotomy of the flexor hallucis longus and Z-lengthening of the Achilles tendon on the ankle in our patient, and this was followed by gradual correction using an Ilizarov external fixator. Full extension of the knee joint was achieved at the ninth postoperative week. However, some recurrence of flexion contracture was noted at two years follow-up. Gradual soft tissue lengthening with an Ilizarov external fixator can be one of the optimal procedures when excision of a fibrous band and Z-plasty are not possible due to severe adhesion of the nerves and vessels into a fibrotic band. However, a cautious approach is recommended when considering the high risk of recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Treatment of Popliteal Pterygium Using an Ilizarov External Fixator

2009

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“…In addition, there are no descriptions of intra-articular or meniscal abnormalities associated with popliteal pterygium in the literature. 11,12 …”

Section: Introductionmentioning

confidence: 99%

Symptomatic Accessory Medial Meniscus Associated With Popliteal Pterygium Syndrome

Funk

Block²,

Martus³

et al. 2015

Journal of Pediatric Orthopaedics

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The popliteal pterygium syndrome: Report of a new family and review of the literature

Hunter

1990

Am. J. Med. Genet.

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This paper reports on a family with popliteal pterygium syndrome (PPS), which was ascertained through a baby with most of the major signs of the syndrome. The mother, who had a repaired cleft palate and toe syndactyly, had been aware that her syndactyly was familial, but her unpreparedness for the birth of a child with PPS led to interest in, and a subsequent review of, the differnetial diagnosis and the variable expression of the clinical manifestations of this syndrome. Upon review, some earlier reported cases were excluded as PPS, and certain ascertainment and reporting biases that could affect such an analysis were considered.

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Popliteal Pterygium Syndrome

Cited by 34 publications

References 0 publications

Treatment of Popliteal Pterygium Using an Ilizarov External Fixator

Treatment of Popliteal Pterygium Using an Ilizarov External Fixator

Symptomatic Accessory Medial Meniscus Associated With Popliteal Pterygium Syndrome

The popliteal pterygium syndrome: Report of a new family and review of the literature

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