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Figure 5.80. Another example of congenital amputation of the left leg and the toes of the right foot by amniotic bands. In primary limb reduction defects, the skin at the amputation is smooth and there is underlying subcutaneous tissue. In secondary limb reduction deformities, the skin shows ulceration or scarring and has no underlying subcutaneous tissue. Radiography shows the stump of the bone is smooth in primary limb reduction defects and the stump of the bone is jagged in secondary defects.

Figure 5.80. Another example of congenital amputation of the left leg and the toes of the right foot by amniotic bands. In primary limb reduction defects, the skin at the amputation is smooth and there is underlying subcutaneous tissue. In secondary limb reduction deformities, the skin shows ulceration or scarring and has no underlying subcutaneous tissue. Radiography shows the stump of the bone is smooth in primary limb reduction defects and the stump of the bone is jagged in secondary defects.

Figure 5.81. A radiograph of the same infant shown in Figure 5.80 showing the congenital amputation of the left leg at the site of the amniotic band.

Figure 5.82. Congenital amputation of the right hand. This is a primary limb reduction defect.

Figure 5.83. This infant presented with multiple anomalies including a bilateral cleft lip and palate, partial amputation of the right arm, and a congenital scalp defect.

Figure 5.82. Congenital amputation of the right hand. This is a primary limb reduction defect.

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