Congenital Constriction Band Syndrome: A Seventy-Year Experience

Guy D. Foulkes, Kent Reinker

Research output: Contribution to journalArticlepeer-review

63 Scopus citations


Seventy-one cases of congenital constriction band syndrome (CCBS) were reviewed. The year of birth, sex, ethnic background, gestational history, family history, and concurrent diagnoses were obtained. The anatomic patterns of involvement, degree of impairment, and number and type of surgical interventions were recorded. The incidence of CCBS appears to be rising. The average patient had three involved limbs, with a predilection for distal, central digits of the upper extremity. Abnormal gestational histories were found in 60% of the cases; 50% had concurrent diagnoses, and nearly one-third had clubfeet. The average patient had a 20% whole body impairment and required three reconstructive procedures. Distraction osteogenesis and free osteocutaneous transfer were useful. We feel that the term “early amnion rupture sequence” more accurately reflects the true pathogenesis of CCBS.

Original languageEnglish (US)
Pages (from-to)242-248
Number of pages7
JournalJournal of Pediatric Orthopaedics
Issue number2
StatePublished - 1994
Externally publishedYes


  • Amnion rupture
  • Amniotic bands
  • Amputation
  • Constriction bands

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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