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Streeter's Dysplasia

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Topic updated on 10/05/09 7:16pm
Introduction
  • Streeter’s dysplasia is clearly related to rupture of the amnion in utero and is now most commonly referred to as premature amnion rupture sequence. 
  • The deformities arise from amniotic bands that wrap about protruding parts and from uterine packing because of the accompanying oligohydramnios.
  • Deformities include
    • clubfoot
    • three limb involvement
    • syndactyly
  • The disease is not genetic and has not been related to teratogen exposure or to iatrogenic influences such as amniocentesis. 
  • Developmental field disruption is not seen in this disease, and the growth potential of the involved parts is normal unless neurovascular disruption has arisen from band formation.
Treatment
  • Treatment involves resection of bands and Z-plasty of skin. 
References
  1. Review of Orthopaedics, 4th Edition, Mark D. Miller, W B Saunders Co, March 2004 
  2. Orthopaedic Knowledge Update 8: Home study syllabus, Edited by Alexander R. Vaccaro, MD 
  3. Miller Colorado Review Lecture Series , Mark D. Miller, Stryker, 2005 
  4. Handbook of Fractures, Joseph D. Zuckerman, Kenneth J. Koval 
  5. Surgical Exposures in Orthopaedics: The Anatomic Approach, Stanley Hoppenfeld, Piet DeBoer
  6. Netter's Concise Atlas of Orthopaedic Anatomy, Frank H. Netter, John A. Craig, Frank H. Netter, John A. Craig, ICOH
  7. Physical Examination of the Spine & Extremities. Stanley Hoppenfeld.Prentice Hall. Copyright 1976

 

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