Presentation
Q71.10 Congenital absence of unspecified upper arm and forearm with hand present Q71.11 Congenital absence of right upper arm and forearm with hand present Q71.12 Congenital absence of left upper arm and forearm with hand present Q71.13 Congenital absence [codelay.com]
Q71.10 Congenital absence of unspecified upper arm and forearm with hand present Q71.11 Congenital absence of right upper arm and forearm with hand present Q71.12 Congenital absence of left upper arm and forearm with hand present Q71.2 Congenital absence [icd10data.com]
Entire Body System
- Disability
disability, Cilliers type X-linked intellectual disability, Golabi-Ito-Hall type X-linked intellectual disability, Gu type X-linked intellectual disability, Hedera type X-linked intellectual disability, Miles-Carpenter type X-linked intellectual disability [se-atlas.de]
Children with congenital amputations are remarkably good at compensating for their disability. They are not mentally disabled in any way, and less should not be expected from them in an educational setting because of their disability. [healthofchildren.com]
Please enable JS and disable any ad blocker [patientcareonline.com]
Hand deformities can be particularly disabling as the child learns to interact with the environment through the use of his or her hands. [hopkinsmedicine.org]
The functional disability depends on the severity of the deformity and whether or not it is bilateral. The severity is determined by position of the forearm in pronation supination plane. [boneandspine.com]
Gastrointestinal
- Failure to Thrive
[…] to thrive in newborn Excludes 1: failure to thrive in child over 28 days old (R62.51) P92.8 Other feeding problems of newborn P92.9 Feeding problem of newborn, unspecified P93.0 Grey baby syndrome Includes: Grey syndrome from chloramphenicol administration [app.drchrono.com]
[…] to thrive-microcephaly due to ASXL3 deficiency syndrome Severe intellectual disability and progressive spastic paraplegia Severe intellectual disability-epilepsy-anal anomalies-distal phalangeal hypoplasia Severe intellectual disability-progressive postnatal [se-atlas.de]
Musculoskeletal
- Hand Deformity
What are the different classifications of congenital hand deformities? The classifications for hand deformities can vary. This classification has been accepted by the American Society for Surgery of the Hand. [hopkinsmedicine.org]
What are congenital hand deformities? Congenital hand deformities are present at birth and may become a challenge for children as they continue to grow and learn to interact with their environment through the use of their hands. [rochesterregional.org]
Congenital hand deformities are abnormalities of a baby’s hand that are present at birth. Orthopedic hand surgeons at Hassenfeld Children’s Hospital at NYU Langone diagnose and treat children with all types of hand deformities. [nyulangone.org]
Result Serious fetal hand deformities Among the 20,139 pregnant women, we diagnosed 134 cases of serious fetal hand deformity, excluding simple polydactyly and dactylion deformity. [nature.com]
Be sure the hand surgeon is familiar with the possible causes of the congenital deformity. [medicine.umich.edu]
- Thumb Hypoplasia
Thumb hypoplasia Overview “Hypoplasia” means “under-developed.” The degree of under-development can be anywhere from a slightly small but normally-functioning thumb, to complete absence of the thumb. [dellchildrens.net]
Associated Anomalies Hip dislocation Knee anomalies Clubfoot Polydactyly Syndactyly Madelung deformity Ligamentous laxity Thumb hypoplasia Carpal coalition Cardiac Anomalies Renal anomalies Neurologic anomalies Abnormalities of GI system Acrocephalosyndactyly [boneandspine.com]
Typical deformities include forearm shortening, radial deviation of the wrist and hypoplasia of the thumb [4]. [file.scirp.org]
Hypoplastic Thumb Blauth Classification Type I – mild hypoplasia (all structures present) Type II – moderate hypoplasia (thenar muscles absent) Type III –severe hypoplasia (skeletal hypoplasia) A – stable CMC joint B – unstable CMC joint. Type [slideshare.net]
J Hand Surg 24A: 1145–1155 CrossRef Google Scholar James M, Greeh H, Manske P (2004) The assosciation of radial deficiency with thumb hypoplasia. [link.springer.com]
- Short Forearm
Short forearm. Stiffness or contracture in hand, wrist, or elbow. With hand contractures, skin changes or infections may occur if the fingers are significantly contracted into the palm. [medicine.umich.edu]
Absent fingers or thumb Hand deformity Short forearm Stiffness or contracture in hand, wrist, or elbow, which is caused by a shortening, thickening, and/or excess of connective tissue With hand contractures, skin changes or infections may occur if the [uofmhealth.org]
They also may have webbed fingers or a short hand or forearm. Mild symbrachydactyly: The hand has slightly short, mobile fingers with minor webbing. The hand bones and some of the finger bones and the thumb are present. [healthychildren.org]
The forearm is short. Type IV – The radius is completely absent and the hand is severely radially deviated and the forearm is short. This is regarded as the most common type of radial club hand. [gosh.nhs.uk]
Longitudinal arrest i) Phocomelia (seal limb) Intercalary arrest Intervening segment of limb is absent (arm/forearm) Thalidomide in 1st trimester Type I (complete) - hand directly attached to trunk Type II (proximal) – short forearm attached to [slideshare.net]
- Brachydactyly
[…] type A1 Brachydactyly type A2 Brachydactyly type A4 Brachydactyly type A5 Brachydactyly type A6 Brachydactyly type A7 Brachydactyly type B Brachydactyly type B2 Brachydactyly type C Brachydactyly type E Brachydactyly-arterial hypertension syndrome Brachydactyly-elbow [se-atlas.de]
[…] phalanx Brachydactyly-missing phalanx (disorder) Q71.1 Congenital absence of upper arm and forearm with hand present Q71.10 Congenital absence of unspecified upper arm and forearm with hand present Q71.11 Congenital absence of right upper arm and forearm [codelay.com]
CONGENITAL HAND ANOMALIES Brachydactyly Overview Brachydactyly is a genetic condition that results is short fingers or toes, or both. This is due to abnormally short bones. [dellchildrens.net]
Brachydactyly Bell’s classificationA. Brachymesophalangy B. Apical dystrophy C. Drinkwater type D. Brachymegalodactyly ( stub thumb) E. [slideshare.net]
- Short Hands
Symbrachydactyly Symbrachydactyly is underdevelopment of the hand. Babies born with this condition have small or missing fingers. They may also have webbed fingers or a short hand or forearm. [nyulangone.org]
Radial club hand: Children with club hand on the radial side (radial dysplasia) often have a short forearm and wrist curved toward the thumb side. [healthychildren.org]
The characteristic features of heterozygous achondroplasia include short limbs, lumbar lordosis, short hands and fingers, macrocephaly with frontal bossing and depressed nasal bridge. [sonoworld.com]
Workup
Because of the mild enlargement, its nonprogressive nature, and the absence of other abnormalities, no further workup (such as muscle biopsy or search for a somatic mutation in PIK3CA) was performed. [karger.com]
Other Pathologies
- Occipital Encephalocele
Q01.1 Nasofrontal encephalocele Q01.2 Occipital encephalocele Q01.8 Encephalocele of other sites Q01.9 Encephalocele, unspecified Q02 Microcephaly Excludes 1: Meckel-Gruber syndrome (Q61.9) Q03.0 Malformations of aqueduct of Sylvius Includes: Anomaly [app.drchrono.com]
encephalocele-skeletal dysplasia syndrome Lethal omphalocele-cleft palate syndrome Lethal osteosclerotic bone dysplasia Lethal recessive chondrodysplasia Leukocyte adhesion deficiency type II Leukocyte adhesion deficiency type III Leukoencephalopathy [se-atlas.de]
Incl.: encephalomyelocele, hydroencephalocele, hydromeningocele, cranial meningocele, cerebral meningoencephalocele Excl.: Meckel-Gruber syndrome (Q61.9) Q01.0 Frontal encephalocele Q01.1 Nasofrontal encephalocele Q01.2 Occipital encephalocele Q01.8 [embryology.med.unsw.edu.au]
Treatment
Treatment For small but otherwise normal thumbs, no treatment is necessary. Greater degrees of under-development require surgical reconstruction. [dellchildrens.net]
The goal of surgical treatment is to restore as much function to the affected area as possible. Surgical treatment is decided on a case-by-case basis. [uofmhealth.org]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
What are the benefits of treatment for congenital hand differences? Each child with a hand difference is unique, and the approach to treatment is based on the child’s individual needs. [my.clevelandclinic.org]
Knowledge of these aspects provides useful guidelines for a prompt diagnosis, choosing the most appropriate surgical procedure for treatment. [link.springer.com]
Prognosis
PMID: 8076064 Prognosis Jo AR, Jung ST, Kim MS, Oh CS, Min BJ J Hand Surg Am 2017 Apr;42(4):292.e1-292.e8. Epub 2017 Feb 27 doi: 10.1016/j.jhsa.2017.01.010. [ncbi.nlm.nih.gov]
Prognosis of Congenital Radioulnar Synostosis Overall, surgical treatment has high failure rates. [boneandspine.com]
Prognosis A congenital limb deficiency has a profound effect on the life of the child and his or her parents. [healthofchildren.com]
Despite several treatment modalities, late presentation, local beliefs, the paucity of equipment, and cost of treatment may equally limit the choice of intervention and render poor prognosis. 2. [file.scirp.org]
There is a variable phenotypic expression and, consequently, the prognosis varies from neonatal death, due to pulmonary hypoplasia, to normal survival. [sonoworld.com]
Etiology
Conclusion The diagnosis of congenital gangrene in this child was purely clinical and maternal diabetes with associated hypertension an etiological possibility. [njssjournal.org]
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.de]
Although the etiology is presently unknown, there is a strong hereditary pattern and a greater prevalence in females. [woodsholemuseum.org]
Etiology J Hand Surg Am 2017 Apr;42(4):292.e1-292.e8. Epub 2017 Feb 27 doi: 10.1016/j.jhsa.2017.01.010. PMID: 28249791 Baek GH, Kim J J Hand Surg Asian Pac Vol 2016 Oct;21(3):283-91. doi: 10.1142/S2424835516400087. [ncbi.nlm.nih.gov]
The etiology is unknown and does not seem to be confined to a peripheral nerve, part of the plexus or nerve root. The condition is assumed to be congenital. [karger.com]
Epidemiology
An epidemiological study of the thrombocytopenia with radial aplasia syndrome (TAR) in Spain. An Esp Pediatr. 1998;49:619-623. Sekine I, et al. [rarediseases.org]
Amelia: a multi-center descriptive epidemiologic study in a large dataset from the International Clearinghouse for Birth Defects Surveillance and Research, and overview of the literature. Am J Med Genet C Semin Med Genet. 157C, 288–304 (2011). 13. [nature.com]
The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. [embryology.med.unsw.edu.au]
Pathophysiology
Such as psychogenic wheezing, this nerve travels just anterior to the sonographic anatomy and pathophysiology synovial joints. In the patient figure 73-10. [miketnelson.com]
Prevention
Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [codelay.com]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
Prevention There is no known way to prevent congenital amputations, but the prevention of birth defects in general begins with the well being of the mother before and during pregnancy. [healthofchildren.com]
Tea tree oil : Tea tree oil is purported to have antiseptic properties, and has been used traditionally to prevent and treat infections. [livingnaturally.com]
These involve excision of synostosis and interposition of inert tissue to prevent reformation of synostosis, However, synostosis typically recurs inspite of the interposition of silicone, fat, or muscle. [boneandspine.com]