Name of the Condition

• Congenital Absence of Right Foot and Toe(s)
• Medical term: Terminal Transverse Limb Deficiency (Right Foot)

Summary

Congenital absence of the right foot and toe(s) is a birth defect where a newborn is missing all or part of the foot and toes on the right side. This condition impacts mobility and may require medical intervention and adaptive solutions from a young age.

Causes

• The exact cause is often unknown.
• May be related to genetic factors or environmental influences during pregnancy.
• Possible disruptions in blood supply or amniotic band syndrome during fetal development.

Risk Factors

• Family history of limb abnormalities.
• Maternal exposure to certain chemicals or medications during pregnancy.
• In some cases, the condition might occur sporadically without apparent risk factors.

Symptoms

• Absence of visible foot and toes at birth on the right side.
• Potential impact on movement and balance.
• Developmental delays in mobility milestones in early childhood due to physical limitations.

Diagnosis

• Physical examination immediately after birth.
• Prenatal ultrasound might identify limb differences before birth.
• Genetic testing may be offered to rule out associated syndromes.

Treatment Options

• Prosthetic fitting to aid mobility and function.
• Physical therapy to support strength and balance.
• Surgical interventions, depending on the specific anatomy and desired outcomes.

Prognosis and Follow-Up

• With early intervention, children can lead active lives and achieve developmental milestones with the help of prosthetics or assistive devices.
• Regular follow-ups with orthopedic specialists and prosthetists are essential for adjustments and optimal function.

Complications

• Delayed or reduced mobility if not addressed with prosthetics and therapy.
• Potential psychological impacts due to visible differences; support and counseling might be beneficial.

Lifestyle & Prevention

• Encouragement of physical activity to improve motor skills and confidence.
• No specific preventive measures, as this is a congenital condition.

When to Seek Professional Help

• Parents should seek immediate pediatric evaluation if there are concerns about limb development or movement.
• Ongoing professional support for adjustments to prosthetics or therapy needs.

Additional Resources

• March of Dimes: marchofdimes.org
• Shriners Hospitals for Children: shrinershospitalsforchildren.org

Tips for Medical Coders

• Use ICD code Q72.31 for congenital absence specific to the right foot and toes.
• Ensure accurate documentation of which limb is affected.
• Double-check coding for any associated anomalies or syndromes that may be present.