case_images: PMC3385377_01
case_images: Bilateral Upper limb webbing (Pterygia)
case_images: IJPS-45-128-g001.jpg
case_images: PMC3385377_01_IJPS-45-128-g001.jpg
case_images: F1
case_images: 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].
case_images: Webbing involving only anterior axillary fold
case_images: IJPS-45-128-g002.jpg
case_images: PMC3385377_01_IJPS-45-128-g002.jpg
case_images: F2
case_images: This deformity had been present since birth and involved anterior axillary fold as well as medial elbow [Figure 2].
case_images: Multiple Z plasty
case_images: IJPS-45-128-g003.jpg
case_images: PMC3385377_01_IJPS-45-128-g003.jpg
case_images: F3
case_images: 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].
case_images: Early post op. result
case_images: IJPS-45-128-g004.jpg
case_images: PMC3385377_01_IJPS-45-128-g004.jpg
case_images: F4
case_images: 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].