Publication: Congenital Upper Limb Deficiency with Oligodactyly: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Congenital upper limb deficiency care and management have undergone drastic changes over the past 50 years. Given the low incidence of this defect nationwide, this case report adds to the existing database to analyze the etiological investigations, descriptive epidemiology, and trend detection. We present a case of a 2-month-old male child with congenital upper limb deficiency and explore the possible etiologies and difficulties during early diagnosis of such rare disorders in a low and middle-income countrries and present implications at the primary health care level to improve the prognosis. Poor nutrition during pregnancy due to an unplanned pregnancy is a possible cause. The prognosis is unfavourable due to sociocultural barriers. To address these limitations, it is pertinent to address disability-adequate knowledge among communities, promote early diagnosis, and timely rehabilitation using a multidisciplinary approach. Further, we provide a framework to optimize care.
Description
Anu Radha Twayana
Department of Medicine, Bhaktapur Hospital, Dudhpati, Bhaktapur, Nepal
Neela Sunuwar
B. P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal
https://orcid.org/0000-0002-7377-8062
Sulav Deo
Department of Medicine, Suraksha Hospital, Biratnagar, Morang, Nepal
https://orcid.org/0000-0002-6544-2470
Sushil Rayamajhi
Department of Medicine, Swacon International Hospital, Battisputali, Kathmandu, Nepal
https://orcid.org/0000-0001-5951-6149
Ninda Tashi Tenzing Sherpa
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Firoz Anjum
Department of Paediatrics, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Keywords
Congenital limb deficiency, Prevalence, Upper limb defect