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Figure 5.73. In this infant there is a disruption of the right hand due to constriction bands resulting in amputations of the second, third, and fourth fingers. Note the congenital absence of the thumb in the left hand, which was not a disruption but occurred as a result of a true congenital malformation.

examination.

Figure 5.73. In this infant there is a disruption of the right hand due to constriction bands resulting in amputations of the second, third, and fourth fingers. Note the congenital absence of the thumb in the left hand, which was not a disruption but occurred as a result of a true congenital malformation.

Figure 5.74. There is a minimal amniotic band at the distal part of the right foot of this infant. It should be noted that this type of finding could easily be missed on examination.

Figure 5.75. In this same infant shown in Figure 5.74 there were severe amniotic bands of the fingers and toes. Note the strands of amnion.

Figure 5.77. Radiograph of die same infant shown in Figure 5.76, showing marked bowing and fracture of the tibia and fibula of the left leg as a result of the constriction band. Also note the severe tissue swelling of the foot.

5.78

Figure 5.78. An intrauterine amputation of the right leg and a constriction hand of the left leg were noted in this infant at birth. If there is a congenital amputation, consideration should be given to whether the amputation is a primary or secondary limb reduction defect. This is an example of a secondary limb reduction defect.

Figure 5.79. A radiograph of die same infant as shown in Figure 5.78 showing the amputation of the right leg. Note the soft tissue constriction of the distal left leg.

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