Name of the Condition

• Congenital Shortening of Right Upper Limb
• Also referred to as limb reduction defect or congenital upper limb deficiency.

Summary

• Congenital shortening of the right upper limb is a birth defect where a baby's right arm is shorter than normal. This can affect the arm, hand, or fingers, and varying degrees of limb reduction may be present.

Causes

• The exact cause is often unknown but might include genetic factors, environmental influences during pregnancy, and disruptions to normal fetal development.

Risk Factors

• Family history of congenital limb shortages.
• Maternal exposure to certain medications or chemicals during pregnancy.
• Maternal conditions such as diabetes or autoimmune diseases.

Symptoms

• Visibly shorter right arm compared to the left.
• Potential limitations in movement or function of the affected limb.
• Absence or malformation of fingers or parts of the arm.

Diagnosis

• Physical examination at birth or during routine prenatal ultrasound.
• Imaging tests such as X-rays to assess bone structure and limb development.

Treatment Options

• Prosthetics: To enhance functionality and support.
• Physical Therapy: To improve mobility and strength.
• Surgery: In some cases, to correct or improve limb function.
• Each treatment plan is individualized based on the severity and specifics of the limb shortening.

Prognosis and Follow-Up

• Many individuals lead full, functional lives with the aid of adaptive devices and therapy.
• Regular follow-ups are essential to accommodate growth and changing needs.

Complications

• Limited range of motion or functionality of the affected limb.
• Challenges in performing certain tasks or activities.

Lifestyle & Prevention

• Encouragement and support for adaptive strategies in daily activities.
• Currently, no known prevention measures due to the congenital nature of the condition.

When to Seek Professional Help

• Regular consultations with a pediatrician or orthopedic specialist if any problems with limb function or adaptation occur.

Additional Resources

• March of Dimes: marchofdimes.org
• Limb Difference Support: limbdifference.org

Tips for Medical Coders

• Ensure code Q71.811 is used specifically for shortening of the right upper limb.
• Double-check medical records to confirm the affected side and specific location of limb shortening.
• Avoid confusing with other congenital limb malformations codes.