Acronym for Amniotic deformity, Adhesions, Mutilations phenotype complexed with other anomalies caused by mechanical constriction of the amniotic sac, but there is evidence for the role of autosomal recessive inheritance. The phenotype may include bands on fingers, and loss of finger bones or even parts of legs (amputations), etc.  limb defects; Keller H et al 1978 Am J Med Genet 2:81.