Tuesday, August 18, 2015

More on Amniotic Constriction Band

I recently posted on a young child with Amniotic Constriction Band Here.  I wanted to update that post with additional information.  Prior to coming to me, the patient had been treated in an urgent way by Dr Erin Greer who performed a z- plasty and release of the tight band.  This surgery was done to help the thumb survive as it looked concerning due to the tight band.  Needless to say, this surgery was successful and the thumb looks really good and clearly will survive.

Here are new pictures (not previously posted) just after birth with a thumb with Amniotic Constriction Band that is at risk.  See the tight band and the swollen thumb past the band.

Amniotic Constriction Band with tight band.

Amniotic Constriction Band with tight band.

Amniotic Constriction Band with tight band.

Here are some pictures soon after the procedure- notice how improved the thumb looks already.
Amniotic Constriction Band after band release

Amniotic Constriction Band after band release
Finally, here is one picture when the patient came to see me.  Look how much improved the thumb is with the additional time.  There is still evidence of the band but this is a thumb that will do well long term and really help with function!

Amniotic Constriction Band with tight band after release.

Charles A. Goldfarb, MD
My Bio at Washington University
congenitalhand@wudosis.wustl.edu

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