Congenital constriction band of the upper arm: the role of three-dimensional ultrasound in diagnosis, counseling and multidisciplinary consultation.
Constriction band syndrome represents a sporadic condition that may result in amputations, constrictions and other deformities of the fetal limbs and body. Prenatal diagnosis by two-dimensional ultrasound has been reported. We present a case of constriction band involving the upper arm in which the assessment by three-dimensional ultrasound significantly contributed to the diagnosis and the multidisciplinary counseling. In fact, multiplanar imaging and surface rendering allowed a clear depiction of the extent of the constriction, the club-hand deformity and the relationship between the amniotic band, the cord and the fetal limb. This case represents a unique and effective application of three-dimensional ultrasound in prenatal diagnosis.
Paladini
D
D
Fetal Cardiology Unit, Department of Gynecology and Obstetrics, University Federico II of Naples, Italy. paladini@unina.it
Foglia
S
S
Sglavo
G
G
Martinelli
P
P
D000652:Amniotic Band Syndrome / Q000000981:diagnostic imaging*; D001132:Arm / Q000000981:diagnostic imaging* / Q000196:embryology; D002585:Cesarean Section; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal