PMC3385377_01
Bilateral Upper limb webbing (Pterygia)
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F1
A 9-year-old boy presented to the outpatient department with bilateral webbing from the lateral chest wall extending up to his elbows, which looked like wings [Figure 1].
Webbing involving only anterior axillary fold
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F2
This deformity had been present since birth and involved anterior axillary fold as well as medial elbow [Figure 2].
Multiple Z plasty
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F3
This was successfully treated on the left side with multiple Z-plasty operation (parents consented for only one side initially).During the procedure, the fibrous bands were excised down to deep fascia and Z-plasty flaps were transposed to lengthen the axillary and elbow contractures [Figures 3 and 4].
Early post op. result
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F4
This was successfully treated on the left side with multiple Z-plasty operation (parents consented for only one side initially).During the procedure, the fibrous bands were excised down to deep fascia and Z-plasty flaps were transposed to lengthen the axillary and elbow contractures [Figures 3 and 4].