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Congenital Absence of Upper Arm and Forearm with Hand Present

Phocomelia


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]
  • Supplemental Content Recent activity Clear Turn Off Turn On Congenital absence of upper arm and forearm with hand present, unilateral Congenital absence of upper arm and forearm with hand present, unilateral MedGen Ampicillin-sulbactam: an update on the[ncbi.nlm.nih.gov]
  • Congenital absence of the right thumb was present in this otherwise normal infant. Figure 1.48. Congenital absence of the right thumb was present in this otherwise normal infant. 1.47 1.48 Figure 1.49.[rrnursingschool.biz]
Surgical Procedure
  • The surgical procedure when indicated consists of opening the pulley that causes the tight passage for the tendon.[columbiadoctors.org]
  • Surgical procedures Prosthetic devices Treatment consists of surgical procedures for polydactyly and syndactyly.[merckmanuals.com]
  • There are two general types of surgical procedure for amputation: (1) the closed or “flap” amputation and (2) the open or “guillotine” amputation.[medical-dictionary.thefreedictionary.com]
  • This surgical procedure improved the x-ray position of the elbow but did not change function, which demonstrated both preoperatively and postoperatively mild loss of extension-flexion and moderate loss of supination-pronation.[clinicalgate.com]
  • The surgical procedures performed will depend upon the severity and location of the anatomical abnormalities, their associated symptoms, and other factors.[rarediseases.org]
Developmental Disabilities
Epicanthal Folds
  • Epicanthal folds were also present. Figure 1.26. Radiograph of the lower extremities of the same infant with sirenomelia shows the presence of two separate femora with fusion of soft tissue, two separate tibiae, and a single fibula distally.[rrnursingschool.biz]

Treatment

  • 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]
  • Treatment For small but otherwise normal thumbs, no treatment is necessary. Greater degrees of under-development require surgical reconstruction.[dellchildrens.net]
  • Surgical treatment is not always required to correct these deformities.[hopkinsmedicine.org]
  • Depending of the type of anomaly, treatment will be recommended by the hand surgeon, the treatment may be surgical and non-surgical depending on each individual case.[columbiadoctors.org]
  • Treatment is based on the depth of the burn.[choa.org]

Prognosis

  • 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]
  • The patient's general and mental capacity and its prognosis must be assessed. A child with limited mental capacity still needs hand function, bimanual if possible, but the aims might be more limited.[adc.bmj.com]
  • Prognosis A congenital limb deficiency has a profound effect on the life of the child and parents. However, occupational therapy can help the child learn to accomplish many tasks.[medical-dictionary.thefreedictionary.com]

Etiology

  • Other congenital anomalies or a familial history of similar anomalies help confirm this as an etiology.[clinicalgate.com]
  • Extremity Deficiencies Proximal Femoral Focal Deficiency Etiology: Proximal femoral focal deficiency (PFFD) refers to abnormalities that range from mild shortening and hypoplasia of the femur to severe deficiency of the bone and dysplasia of the acetabulum[radiologykey.com]
  • With transverse or longitudinal deficiency, depending on the etiology, infants may also have hypoplastic or bifid bones, synostoses, duplications, dislocations, or other bony defects; for example, in proximal femoral focal deficiency, the proximal femur[merckmanuals.com]
  • Congenital upper extremity differences: Understanding the etiology and treatment. A Pediatric Perspective 2001;10:1-4. F rantz CH, O’Rahilly R. Congenital skeletal limb deficiencies. J Bone Joint Surg Am.1961;43:1202-1224. S wanson AB.[casereports.in]
  • Constriction band syndrome (streeter’s dysplasia)  Quite common  Etiology- constricting amniotic band & intrinsic causes have been proposed  Patterson clasificationa. simple constrictions (partial/circumferential) b.[slideshare.net]

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]
  • The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use.[embryology.med.unsw.edu.au]
Sex distribution
Age distribution

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]
  • Prevention of skeletal limb abnormalities There is no certain way to prevent skeletal limb abnormalities from occurring. Instead, the focus is on early detection and treatment.[healthline.com]

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