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Annular constricting bands.

J M Moses, A E Flatt, R R Cooper

    The Journal of Bone and Joint Surgery. American Volume
    |June 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Congenital constriction bands often present with other anomalies, particularly in firstborns. Proximal bands correlate with significant temperature gradients, especially in patients with neural deficits.

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    Area of Science:

    • Pediatric Surgery
    • Orthopedics
    • Genetics

    Background:

    • Congenital constriction bands are a group of deformities that can affect limb development.
    • Associated anomalies and neurocirculatory deficits require careful evaluation.

    Purpose of the Study:

    • To analyze the clinical characteristics, associated anomalies, and outcomes of patients with congenital constriction bands.
    • To investigate the relationship between band location and specific deficits like temperature gradients and neurocirculatory issues.

    Main Methods:

    • Retrospective review of 45 patients with congenital constriction bands.
    • Recording of family history, associated anomalies, temperature gradients, and neurocirculatory status.
    • Surgical treatment with staged z-plasty was the primary intervention.

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    Main Results:

    • No family history of constriction bands was identified.
    • Nail deformities were consistently observed with distally located bands.
    • 23% of patients had neural deficits and 16% had circulatory deficits.
    • A significant temperature gradient (average 2.38°C) was noted in 20 patients with proximal bands.
    • All patients with neural deficits exhibited a significant temperature gradient.

    Conclusions:

    • Congenital constriction bands are frequently associated with other anomalies, especially hand malformations.
    • Proximal band location is linked to significant temperature gradients, particularly when neural deficits are present.
    • Staged z-plasty is an effective surgical approach for releasing these constrictions.