Congenital Constriction Ring Syndrome in Lower Limb-A Rare Entity

A case of “acquired constriction ring” or “toe-tourniquet” syndrome is presented to increase awareness of the condition in the orthopaedic community. If treated promptly, this condition has a very good prognosis and, if the diagnosis is missed, may lead to amputation. We also discuss the potential causes and presentation of this condition, along with the need for urgent surgical exploration if there are doubts over tissue viability.

Download Full-text

TRIANGULAR FLAPS: A MODIFIED TECHNIQUE FOR THE CORRECTION OF CONGENITAL CONSTRICTION RING SYNDROME

Hand Surgery ◽

10.1142/s021881041100576x ◽

2011 ◽

Vol 16 (03) ◽

pp. 387-393 ◽

Cited By ~ 6

Author(s):

Puay-Ling Tan ◽

Yuan-Cheng Chiang

Keyword(s):

Wide Spectrum ◽

Lower Limbs ◽

Modified Technique ◽

Constriction Ring ◽

Contour Deformity ◽

Aesthetic Results ◽

Advancement Flaps ◽

A New Technique ◽

Constriction Ring Syndrome

Congenital constriction ring syndrome (CCRS) is a congenital anomaly with a wide spectrum of clinical presentation. The accepted method of correcting a circular constriction is to excise the deep part of the constriction, and break the line of the circular scar with multiple Z- or W-plasties. Specific correction of soft tissue is recommended concurrently, to better correct the "sandglass" deformity. Here we describe a new technique using triangular advancement flaps to correct the deformity in eight patients with constriction ring syndrome, involving either the upper or lower limbs. In this technique, triangular flaps can be introduced either proximal or distal to the ring, depending on the limb circumference, to correct the contour deformity. In all eight patients, a normal extremity contour was obtained, with complete elimination of the deformity caused by the constriction ring. A mean follow-up of 43 months revealed an aesthetically acceptable scar, with no case of recurrence. Triangular flaps designed either proximal or distal to the constriction ring is able to correct the contour deformity of the limbs with great versatility and acceptable aesthetic results.

Download Full-text

A rare entity of primary extranodal diffuse large B cell lymphoma of the lower limb calf in an HIV-infected young adult on highly active antiretroviral therapy

BMJ Case Reports ◽

10.1136/bcr.12.2011.5444 ◽

2012 ◽

Vol 2012 (mar26 1) ◽

pp. bcr1220115444-bcr1220115444 ◽

Cited By ~ 1

Author(s):

C. Katusiime ◽

A. Kambugu

Keyword(s):

Young Adult ◽

Antiretroviral Therapy ◽

Lower Limb ◽

Highly Active Antiretroviral Therapy ◽

Cell Lymphoma ◽

B Cell Lymphoma ◽

Rare Entity ◽

Highly Active ◽

Large B Cell Lymphoma ◽

Large B Cell

Download Full-text

Hereditary myoclonus dystonia - rare entity diagnosed in younger children: report of a sporadic case with atypical features

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20195755 ◽

2019 ◽

Vol 7 (1) ◽

pp. 209

Author(s):

Varsha Mishra ◽

Rachna Sehgal

Keyword(s):

Quality Of Life ◽

Lower Limb ◽

Sporadic Case ◽

Early Age ◽

Rare Entity ◽

Atypical Features ◽

Myoclonus Dystonia ◽

Author Report ◽

Limb Onset

Hereditary myoclonus dystonia is a rare movement disorder characterized with combination of myoclonic jerks with mild to moderate dystonia. Mostly caused due to changes in SGCE gene. Author report case of a 3 years old girl with atypical features of lower limb onset, mild dystonia, upper limb and neck myoclonic jerks and younger onset. She was detected to have pathogenic variant of SGCE gene. A diagnosis of myoclonus dystonia should be considered at an early age also like in our case so that treatment is initiated early for better results and improved quality of life and development.

Download Full-text