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Can operate is possible for natural arms problem
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Bone and Orthopedic Conditions
Question #17493
258 days ago
368

Can operate is possible for natural arms problem

Rajpoot

Hello Doctor, I would like to get a professional opinion regarding a congenital (by birth) condition affecting my arms, elbows, and hands. Since birth, my elbow joints are not straight, and when I extend my arms, they do not fully straighten like normal arms. Both arms are affected. This appears to be related to the structure and alignment of my elbow joints, not due to any injury or accident. Additionally, I have four fingers on each hand and no thumb (congenital absence of the thumb). The length of my arms is slightly shorter than average. Functionally, I am able to perform most daily activities using my hands and fingers. I do not experience severe pain, and my condition has been stable over time. However, the main concern is the appearance, alignment, and overall structure, which causes emotional and psychological distress. I would like to ask: 1. Whether this type of congenital condition is treatable through surgery at any stage of life 2. If surgery is possible, whether it is usually done only for functional improvement or also for structural or cosmetic correction 3. If surgery is not advisable, are there any non-surgical approaches that could improve alignment or function 4. What diagnostic tests or imaging (such as X-rays, MRI, or others) would normally be required to properly assess my case 5. What level of realistic improvement could be expected I understand that online consultation cannot replace physical examination. I am only requesting an initial professional opinion to help me decide on future medical steps. Thank you very much for your time and consideration.

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Doctors' responses

Hello,

Surgery is possible in some cases, but it depends on your exact bone structure. Options include: Corrective surgery to improve elbow or wrist alignment Limb-lengthening (major and slow surgery) Thumb reconstruction Prosthesis can be done

Not all cases can be fully corrected, but improvement is often possible.

You need an evaluation by an orthopedic surgeon (hand & upper limb specialist) with X-rays to know your exact options.

I hope this helps Thank you

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Based on the description, the congenital condition you’re dealing with involves both structural and functional challenges. In terms of surgical treatment, it’s indeed possible to undertake surgery for conditions like yours, though it heavily depends on individual circumstances. Surgery can address functional impairments and, in many cases, aim for structural or even cosmetic improvement. This usually involves a multidisciplinary approach including orthopedic and plastic surgeons. In some cases, procedures like tendon transfers, joint realignment, or creating an opposable thumb function if absent, are among the options. It’s crucial to assess risks versus benefits, especially if functionally you are mostly doing well.

For non-surgical options, physical therapy can provide some functional improvements and better overall management. Occupational therapy might help you adapt activities to minimize stress on your joints and hands. Custom splints or orthotic devices could aid in improving alignment subtly and reducing any potential discomfort. Such approaches, while not altering the structural anomalies, might support functional adaptation and maintenance of joint health.

Regarding diagnostics, initial assessment typically includes detailed physical examination and comprehensive imaging. Likely, you’d need X-rays to understand bone structure, and possibly MRIs for soft tissue and joint conditions. This imaging helps in detailed pre-operative planning and provides a baseline to address treatable elements of your condition.

As for realistic expectations of improvement, surgical interventions can often offer functional benefits. Structural improvements might also aid appearance, although perfection should not always be expected. The level of improvement varies greatly and relies on individual factors, surgical technique, and rehabilitation efforts post-surgery. Consulting with specialists who can tailor the approach to your specific needs is advisable. They’d provide a more accurate prognosis based on detailed evaluations.

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Hello dear Yes there is a lot of improvement in medical technology for replacement of missing thumbs Iam suggesting some options Non surgical Prosthetic replacement Adaptive devices If possible training for good functioning Surgical treatment Polisization surgery Thumb reconstruction by grafts and soft tissues Microsurgery Kindly get the best treatment done from cosmetic/ general surgeon for good success Tests will be prescribed by concerned physician only including x ray,mri or USG hand Regards

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Rajpoot Queen
Client
258 days ago

And what about for elbow joint issue Thanks for you best opinion about thumb

Hello dear Thank for kind response It will also be replaced by prosthetic devices or robotic application Regards

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