Askins G, Ger E
Department of Medical Education, Alfred I. duPont Institute, Wilmington, DE 19899.
J Pediatr Orthop. 1988 Jul-Aug;8(4):461-6. doi: 10.1097/01241398-198807000-00016.
A retrospective study of 55 patients with congenital constriction band syndrome was performed. Multiple extremity involvement was found to be the most common clinical feature associated with the disease, and 34% of the patients studied were premature at birth. Malformations included constriction bands, clubfoot, intrauterine amputation, syndactyly, and acrosyndactyly (fenestrated syndactyly). The extremities were most often affected distally, involving the longer central fingers and medial two toes. More proximal involvement with constriction bands was associated with a higher frequency of neurologic deficit. Significant leg-length discrepancy exceeding 2.5 cm was seen in 9 of 38 patients (24%) with lower extremity involvement, a condition that has not been previously reported.
对55例先天性束带综合征患者进行了回顾性研究。发现多肢体受累是与该疾病相关的最常见临床特征，且研究中的患者有34%为早产儿。畸形包括束带、马蹄内翻足、宫内截肢、并指（趾）以及窗状并指（趾）。四肢最常受累于远端，累及较长的中指和中间的两个脚趾。束带更靠近近端的受累与更高频率的神经功能缺损相关。在38例下肢受累患者中有9例（24%）出现超过2.5 cm的明显腿长差异，这是此前未曾报道过的一种情况。
