Class 1 simple constriction ring
Class 2 associated deformity of the distal part +/- lymphedema.
Class 3 involves distal fusions like syndactyly/acrodactyly
Class 4 involved intrauterine amputation due to the constriction
Classic Ref:
Patterson T. Congenital ring constrictions. Br J Plast Surg. 1961;69:532–569
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